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1265947279
KEATON BENNETT
CHARLOTTE, NC
NPI
1265947279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09085)
Enumeration Date
2017-12-13
Last Update Date
2024-07-15
Business Address
KEATON BENNETT PA
1021 MOREHEAD MEDICAL DR STE A
CHARLOTTE, NC 28204-2990
Phone number: 980-442-2000
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Mailing Address
KEATON BENNETT PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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