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Individual
CRYSTAL TABOR BENTON
Active
Individual
CRYSTAL TABOR BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9429902
FL
363L00000X
Nurse Practitioner
11005714
FL
363L00000X
Nurse Practitioner
Primary
APRN-NP239197
GA
Other
Enumeration date
01/03/2020
Last updated
12/17/2025
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