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Individual
BENJAMIN ASHBY GOODRUM
Active
Individual
BENJAMIN ASHBY GOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM, FNP
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CNM236316
CA
363LF0000X
Family Nurse Practitioner
201406326NP-PP
OR
367A00000X
Advanced Practice Midwife
F002184-01
NY
Other
Enumeration date
09/12/2014
Last updated
05/06/2025
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