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Individual

BENJAMIN BOLT DRISCOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
5927 36TH AVE SW, SEATTLE, WA 98126-2829
(561) 703-7393
Mailing address
5927 36TH AVE SW, SEATTLE, WA 98126-2829
(561) 703-7393

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60585188
WA

Other

Enumeration date
08/25/2015
Last updated
08/25/2015
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