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1972512655
JACK NILS BENSON
PHOENIX, AZ
NPI
1972512655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: AZ 1521)
Enumeration Date
2006-08-05
Last Update Date
2008-01-04
Business Address
JACK NILS BENSON DO
19841 N 27TH AVE SUITE 201
PHOENIX, AZ 85027-4005
Phone number: 623-582-6420
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Mailing Address
JACK NILS BENSON DO
19841 N 27TH AVE SUITE 201
PHOENIX, AZ 85027-4005
Phone number: 623-582-6420
Copy
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