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Individual
DR. JUSTIN O BENABDALLAH
Active
Individual
DR. JUSTIN O BENABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2016025625
MO
208800000X
Urology Physician
D84054
MD
208800000X
Urology Physician
Primary
MD045666
DC
Other
Enumeration date
04/09/2011
Last updated
07/21/2022
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