BEN PROM

JUNEAU, AK
NPI1629733415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-11-05
Last Update Date2021-11-05
Business Address
BEN PROM
8505 OLD DAIRY RD
JUNEAU, AK 99801-6921
Phone number: 907-790-4111
Mailing Address
BEN PROM
8505 OLD DAIRY RD
JUNEAU, AK 99801-6921
Phone number: 907-790-4111
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