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Individual

BENJAMIN HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
10940 HAMILTON CLUB DR APT 302, RALEIGH, NC 27617-7798
(336) 324-7747
Mailing address
10940 HAMILTON CLUB DR APT 302, RALEIGH, NC 27617-7798
(336) 324-7747

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
218110
NC

Other

Enumeration date
03/13/2013
Last updated
05/07/2013
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