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Individual

JACOB JORGE BENUTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
951 5TH ST, WOODBURN, OR 97071-4105
(209) 361-3845
Mailing address
951 5TH ST, WOODBURN, OR 97071-4105
(209) 361-3845

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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