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1174798011
MARY T. BENNETT
TACOMA, WA
NPI
1174798011
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Former Name
MARY T. BOSCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: WA AP30004436)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
-- MARY T. BENNETT MSN
9040 A REID ST
TACOMA, WA 98431-0001
Phone number: 253-968-3162
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Mailing Address
-- MARY T. BENNETT MSN
9040 A REID ST
TACOMA, WA 98431-0001
Phone number: 253-968-3162
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