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Individual

KIMBERLY BENITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
564 GLATT CIR, WOODBURN, OR 97071-9675
(503) 910-5053
Mailing address
194 E IVY AVE, GERVAIS, OR 97026-8710
(503) 910-5053

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
04/06/2009
Last updated
08/01/2013
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