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Individual

TOSHA MARLENE BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
14201 NE 20TH AVE, SUITE 3101, VANCOUVER, WA 98686-6410
(360) 576-8599
(360) 576-6320
Mailing address
9600 NE 132ND AVE, VANCOUVER, WA 98682-2912
(360) 518-8614

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024793
WA

Other

Enumeration date
12/30/2009
Last updated
12/30/2009
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