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1104076892
MICHELLE BENNETT
MEDFORD, NY
NPI
1104076892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 240224-1)
Enumeration Date
2008-09-30
Last Update Date
2008-09-30
Business Address
Mrs. MICHELLE BENNETT L.P.N
3115 HORSEBLOCK RD
MEDFORD, NY 11763-2526
Phone number: 631-730-3000
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Mailing Address
Mrs. MICHELLE BENNETT L.P.N
77 BARBARA LN
MIDDLE ISLAND, NY 11953-1805
Phone number:
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