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1790141273
BENJAMIN KOCH
VALPARAISO, IN
NPI
1790141273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71006049B)
Enumeration Date
2016-01-13
Last Update Date
2023-10-09
Business Address
BENJAMIN KOCH FNP-BC
2421 LAPORTE AVE
VALPARAISO, IN 46383-6914
Phone number: 219-462-6192
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Mailing Address
BENJAMIN KOCH FNP-BC
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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