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Individual

MRS. JENNIFER KOOIKER BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 N LAVENTURE RD STE C, MOUNT VERNON, WA 98273-3901
(360) 399-7700
(360) 899-4534
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037772
WA

Other

Enumeration date
05/31/2005
Last updated
10/25/2021
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