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1104148162
MARY R BENNETT
BEDFORD, IN
NPI
1104148162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IN MT20900282)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
MARY R BENNETT CMT, NCTMB
2734 WASHINGTON AVE
BEDFORD, IN 47421-5314
Phone number: 812-276-5941
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Mailing Address
MARY R BENNETT CMT, NCTMB
2734 WASHINGTON AVE
BEDFORD, IN 47421-5314
Phone number: 812-276-5941
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