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Individual

MR. BENJAMIN MICHAEL DUENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
496 S BARTON AVE, FRESNO, CA 93702-2985
(559) 860-4422
Mailing address
496 S BARTON AVE, FRESNO, CA 93702-2985
(559) 860-4422

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
277846
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013030808
CA
Enumeration date
02/06/2018
Last updated
09/27/2025
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