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1134833445
BENJAMIN MICHAEL CHALSTROM
KNOXVILLE, TN
NPI
1134833445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
BENJAMIN MICHAEL CHALSTROM PA-C
5150 N BROADWAY ST
KNOXVILLE, TN 37918-2342
Phone number: 865-549-5111
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Mailing Address
BENJAMIN MICHAEL CHALSTROM PA-C
1517 GREYTOWN WAY APT 305
KNOXVILLE, TN 37932-3436
Phone number: 307-630-5417
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