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Individual

SEAN ROBERT BENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2549 W SHAW AVE, FRESNO, CA 93711-3308
(559) 264-7521
Mailing address
2549 W SHAW AVE, FRESNO, CA 93711-3308

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-JOUXNM
CA

Other

Enumeration date
06/10/2024
Last updated
06/10/2024
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