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1144455023
SEAN H BENNETT
PETERSBURG, WV
NPI
1144455023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-05-21
Last Update Date
2012-05-15
Business Address
-- SEAN H BENNETT IDMT
739 NORTH FORK HIGHWAY GRANT COUNTY HEALTH DEPARTMENT
PETERSBURG, WV 26847-0608
Phone number: 304-257-4922
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Mailing Address
-- SEAN H BENNETT IDMT
PO BOX 608
PETERSBURG, WV 26847-0608
Phone number: 304-257-4922
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