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1265066963
BENJAMIN ROBERT JOHN CAROLAN
TROY, MI
NPI
1265066963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010043)
Enumeration Date
2020-03-03
Last Update Date
2021-05-04
Business Address
BENJAMIN ROBERT JOHN CAROLAN PA-C
2885 E LONG LAKE RD STE AB
TROY, MI 48085-4100
Phone number: 586-977-7246
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Mailing Address
BENJAMIN ROBERT JOHN CAROLAN PA-C
2885 E LONG LAKE RD STE AB
TROY, MI 48085-4100
Phone number: 586-977-7246
Copy
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