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1356572069
BENJAMIN CARLSON
WAUSAU, WI
NPI
1356572069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 158145030)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- BENJAMIN CARLSON
425 PINE RIDGE BLVD SUITE 211
WAUSAU, WI 54401-4123
Phone number: 715-845-5505
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Mailing Address
-- BENJAMIN CARLSON
425 PINE RIDGE BLVD SUITE 211
WAUSAU, WI 54401-4123
Phone number:
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