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1013083229
BENJAMIN DANIEL MALCOLM
CENTERVILLE, OH
NPI
1013083229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.15883)
Enumeration Date
2006-11-28
Last Update Date
2022-08-12
Business Address
Mr. BENJAMIN DANIEL MALCOLM FNP
1095 S MAIN ST
CENTERVILLE, OH 45458-3840
Phone number: 937-439-8622
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Mailing Address
Mr. BENJAMIN DANIEL MALCOLM FNP
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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