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1215496575
BENJAMIN DOUGLAS
APO, AP
NPI
1215496575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-03-17
Last Update Date
2024-06-19
Business Address
BENJAMIN DOUGLAS Physician Assistant
UNIT 5071 BOX MDG
APO, AP 96328-5071
Phone number: 315-225-5207
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Mailing Address
BENJAMIN DOUGLAS Physician Assistant
UNIT 5071 BOX MDG
APO, AP 96328-5071
Phone number: 315-225-5207
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