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Individual

BENJAMIN RYAN HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 KENT AVE STE 2502, WEST LAFAYETTE, IN 47906-1251
(866) 672-4764
Mailing address
3000 KENT AVE STE 2502, WEST LAFAYETTE, IN 47906-1251
(866) 672-4764

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/08/2025
Last updated
07/08/2025
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