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Individual
BENITO HERRERA
Active
Individual
BENITO HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA 46836
FL
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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