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1932103819
BENSONS DERMATOLOGY & SKIN CANCER
PONCHATOULA, LA
NPI
1932103819
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Entity Type
Organization
Authorized Contact
ROBERT W BENSON
Owner
985-370-7768
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2005-06-09
Last Update Date
2007-12-01
Business Address
BENSONS DERMATOLOGY & SKIN CANCER
180 N 5TH ST
PONCHATOULA, LA 70454-2532
Phone number: 985-370-7768
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Mailing Address
BENSONS DERMATOLOGY & SKIN CANCER
180 N 5TH ST
PONCHATOULA, LA 70454-2532
Phone number: 985-370-7768
Copy
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