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Individual

BENSON O. SHITOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
2601 W RANDOL MILL RD STE 101, ARLINGTON, TX 76012-4216
(817) 804-4400
Mailing address
PO BOX 810196, DALLAS, TX 75381-0196
(817) 668-5795
(817) 423-7389

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126400
TX
363LG0600X
Gerontology Nurse Practitioner
AP126400
TX

Other

Enumeration date
12/11/2014
Last updated
12/15/2014
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