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1376103887
BENJAMIN GORDON COULAM
MONMOUTH, OR
NPI
1376103887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201904528NP-PP)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Dr. BENJAMIN GORDON COULAM DNP
512 MAIN ST E
MONMOUTH, OR 97361-2369
Phone number: 503-838-1182
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Mailing Address
Dr. BENJAMIN GORDON COULAM DNP
512 MAIN ST E
MONMOUTH, OR 97361-2369
Phone number:
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