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Individual

MR. BENSON IKENNA EJINDU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8305 UNIVERSITY EXEC PARK DR, SUITE 340, CHARLOTTE, NC 28262-1361
(704) 733-9771
(704) 733-9771
Mailing address
4430 OAKBURN DR, CHARLOTTE, NC 28269-1695
(704) 906-2470
(704) 733-9771

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/17/2011
Last updated
05/17/2011
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