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1235741679
BENJAMIN BERTHOLD
TUCSON, AZ
NPI
1235741679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 286456)
Enumeration Date
2020-08-18
Last Update Date
2023-12-14
Business Address
BENJAMIN BERTHOLD
5301 E GRANT RD
TUCSON, AZ 85712-2805
Phone number: 520-324-4600
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Mailing Address
BENJAMIN BERTHOLD
1120 N 5TH AVE # AZ85705
TUCSON, AZ 85705-7408
Phone number:
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