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1235884305
KATIE BETH BENNETT
JACKSONVILLE, FL
NPI
1235884305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9115696)
Enumeration Date
2022-02-17
Last Update Date
2022-02-17
Business Address
KATIE BETH BENNETT PA-C
653 W 8TH ST FL 2
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-7326
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Mailing Address
KATIE BETH BENNETT PA-C
12001 ABESS BLVD APT 1104
JACKSONVILLE, FL 32225-6007
Phone number: 813-701-6379
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