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Individual

BENJAMIN ROBERT HOLKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14 E LA DIOSA DR, TEMPE, AZ 85282-2159
(480) 440-1419
Mailing address
14 E LA DIOSA DR, TEMPE, AZ 85282-2159
(480) 440-1419

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24825
AZ

Other

Enumeration date
05/09/2022
Last updated
05/30/2024
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