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1144253006
CHARLES R. BENNETT
PUEBLO, CO
NPI
1144253006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CO 848)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- CHARLES R. BENNETT PhD
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4838
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Mailing Address
-- CHARLES R. BENNETT PhD
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4838
Copy
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