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1639703820
BENSON ELLIOTT BAGWELL
CLEMSON, SC
NPI
1639703820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WA AP61040729)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
MR. BENSON ELLIOTT BAGWELL FNP-BC
111 EVERGREEN DR
CLEMSON, SC 29631-2057
Phone number: 202-631-1232
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Mailing Address
MR. BENSON ELLIOTT BAGWELL FNP-BC
111 EVERGREEN DR
CLEMSON, SC 29631-2057
Phone number: 202-631-1232
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