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Individual
YESENIA DE JESUS BENN
Active
Individual
YESENIA DE JESUS BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
003188
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003188
LICENSE NUMBER
PR
Enumeration date
09/28/2018
Last updated
09/28/2018
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