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1235766627
PHILLIP M. BENNETT
SALT LAKE CITY, UT
NPI
1235766627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: UT 12404256-1204)
Enumeration Date
2020-03-25
Last Update Date
2021-09-10
Business Address
PHILLIP M. BENNETT DO
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-587-4281
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Mailing Address
PHILLIP M. BENNETT DO
500 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1221
Phone number: 801-587-4281
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