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1265153910
BENJAMIN VINCENT DEITZEN
SANDSTONE, MN
NPI
1265153910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 9770)
Enumeration Date
2022-09-09
Last Update Date
2023-02-15
Business Address
BENJAMIN VINCENT DEITZEN APRN, FNP-C
705 LUNDORFF DR
SANDSTONE, MN 55072-5099
Phone number: 320-245-2211
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Mailing Address
BENJAMIN VINCENT DEITZEN APRN, FNP-C
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 269-209-6110
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