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1104462829
BRET LYLE BENNETT
ST GEORGE, UT
NPI
1104462829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 4821449-1701)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
BRET LYLE BENNETT
565 S MALL DR
ST GEORGE, UT 84790-1258
Phone number: 435-705-7420
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Mailing Address
BRET LYLE BENNETT
565 S MALL DR
ST GEORGE, UT 84790-1258
Phone number: 435-705-7420
Copy
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