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1164927307
BENJAMIN ROBERT BROCKER
BOARDMAN, OH
NPI
1164927307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34.015108)
Enumeration Date
2018-03-29
Last Update Date
2022-01-08
Business Address
BENJAMIN ROBERT BROCKER
7341 EISENHOWER DR
BOARDMAN, OH 44512-5900
Phone number: 330-726-1138
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Mailing Address
BENJAMIN ROBERT BROCKER
8423 MARKET ST STE 101
BOARDMAN, OH 44512-6778
Phone number: 330-729-8700
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