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Individual
BEAUTINE BENBOW
Active
Individual
BEAUTINE BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0024177046
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014229
PA
Other
Enumeration date
09/28/2014
Last updated
10/23/2019
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