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Individual
BENJAMIN MCQUEEN
Active
Individual
BENJAMIN MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
205143
NULL
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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