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1144970021
BENJAMIN CHRISTOPHER BOOHER
PEORIA, IL
NPI
1144970021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
BENJAMIN CHRISTOPHER BOOHER DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-2576
Phone number: 206-549-4271
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Mailing Address
BENJAMIN CHRISTOPHER BOOHER DO
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 206-549-4271
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