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1417347360
BENJAMIN LUCAS HORTON
ROANOKE, VA
NPI
1417347360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024172302)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
-- BENJAMIN LUCAS HORTON CRNA
1906 BELLEVIEW AVE SE CARILION CLINIC - ANESTHESIA SERVICES
ROANOKE, VA 24014-1838
Phone number: 540-798-8912
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Mailing Address
-- BENJAMIN LUCAS HORTON CRNA
3011 OAK ST SW
ROANOKE, VA 24015-4207
Phone number: 540-798-8912
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