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Individual

NICHOLE BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
210 S WINCHESTER AVE, MILES CITY, MT 59301-4757
(406) 874-5600
Mailing address
1902 PEARL ST, MILES CITY, MT 59301-4622
(406) 852-0111

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
48196
MT

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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