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1255731287
BRYAN BENNETT
BLUEFIELD, WV
NPI
1255731287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-119291)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
-- BRYAN BENNETT NP
500 CHERRY ST
BLUEFIELD, WV 24701-3306
Phone number: 304-327-1656
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Mailing Address
-- BRYAN BENNETT NP
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone number: 770-874-6854
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