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MR. ALLISTER BENJAMIN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
315 W 5TH ST, SUITE 304, LOS ANGELES, CA 90013-1997
(310) 795-5411
Mailing address
315 W 5TH ST, SUITE 304, LOS ANGELES, CA 90013-1997
(310) 795-5411

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19247
CA

Other

Enumeration date
01/21/2010
Last updated
08/17/2011
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