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1114014750
BRIAN BENNETT ELY
LEXINGTON, KY
NPI
1114014750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 3466A)
Enumeration Date
2006-10-06
Last Update Date
2007-12-05
Business Address
-- BRIAN BENNETT ELY CRNA, MSN
800 ROSE ST
LEXINGTON, KY 40536-0001
Phone number: 859-323-5956
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Mailing Address
-- BRIAN BENNETT ELY CRNA, MSN
2333 ALUMNI PARK PLZ SUITE 200
LEXINGTON, KY 40517-4012
Phone number: 859-257-7910
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