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1073150025
CARL EVAN BENNETT
REDDING, CA
NPI
1073150025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013460)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
CARL EVAN BENNETT NP
1100 BUTTE ST
REDDING, CA 96001-0852
Phone number: 530-244-5400
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Mailing Address
CARL EVAN BENNETT NP
112 SHERMAN DR
RED BLUFF, CA 96080-3015
Phone number: 606-923-6201
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