MARY W BENNETT

VIDALIA, GA
NPI1134158538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001249)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- MARY W BENNETT ATC, LAT
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474-8845
Phone number: 912-277-2035
Mailing Address
-- MARY W BENNETT ATC, LAT
707 LOOP RD APT 2D
VIDALIA, GA 30474-8535
Phone number: 912-277-2035
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