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1215177464
KATIE RAE BENNETT
BALTIMORE, MD
NPI
1215177464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R158893)
Enumeration Date
2009-03-01
Last Update Date
2012-11-14
Business Address
-- KATIE RAE BENNETT NP-C
1000 E EAGER ST
BALTIMORE, MD 21202-5533
Phone number: 410-522-9800
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Mailing Address
-- KATIE RAE BENNETT NP-C
3100 WYMAN PARK DR
BALTIMORE, MD 21211-2803
Phone number: 410-338-3500
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