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Individual
MR. GARY ALAN BENDA JR.
Active
Individual
MR. GARY ALAN BENDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2579
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2733PA
—
SC
Enumeration date
08/15/2016
Last updated
10/07/2021
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