Individual
MS. TERESA A BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4303 PITMAN ROAD, FORT SILL, OK 73503
(580) 351-1131
Mailing address
625 SW SEDALIA PL, LAWTON, OK 73501-8247
(580) 678-5114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0035609
OK
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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