JACK BENTLEY

MOBILE, AL
NPI1124110739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: AL  PTH3594)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Mr. JACK BENTLEY P.T.
67 E MIDTOWN PARK
MOBILE, AL 36606-4141
Phone number: 251-476-1279
Mailing Address
Mr. JACK BENTLEY P.T.
5757 DEERWOOD DR S
MOBILE, AL 36618-3004
Phone number: 251-344-8463
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