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1205213279
BENEDICT NGWA
SUFFOLK, VA
NPI
1205213279
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Other Name
NA NA NA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024172552)
Enumeration Date
2015-04-29
Last Update Date
2019-07-02
Business Address
BENEDICT NGWA NP
4868 BRIDGE RD
SUFFOLK, VA 23435-2048
Phone number: 757-483-7100
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Mailing Address
BENEDICT NGWA NP
PO BOX 7068
PORTSMOUTH, VA 23707-0068
Phone number: 757-686-3508
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