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1134514300
LISA MARIE BENNETT
JACKSONVILLE, FL
NPI
1134514300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9165702)
Enumeration Date
2015-04-03
Last Update Date
2015-04-03
Business Address
-- LISA MARIE BENNETT ARNP
1655 HARRINGTON PARK DR
JACKSONVILLE, FL 32225-4938
Phone number: 904-477-6197
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Mailing Address
-- LISA MARIE BENNETT ARNP
1655 HARRINGTON PARK DR
JACKSONVILLE, FL 32225-4938
Phone number: 904-477-6197
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