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Individual
BENJAMIN ALLEN MORELOCK
Active
Individual
BENJAMIN ALLEN MORELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209023125
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209023125
IL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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