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Individual

CHRIS ALLEN BENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
1717 S RANGE LINE RD STE B, JOPLIN, MO 64804-3224
(417) 623-2207
Mailing address
1717 S RANGE LINE RD STE B, JOPLIN, MO 64804-3224
(417) 623-2207

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021037375
MO

Other

Enumeration date
09/20/2021
Last updated
03/07/2022
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