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Individual

BENJAMIN BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24511 W JAYNE AVE, COALINGA, CA 93210
(559) 935-4300
Mailing address
654 LUCILLE AVE, 103, COALINGA, CA 93210

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
724688
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20910
CA

Other

Enumeration date
11/04/2011
Last updated
06/11/2014
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