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1316680457
BENTON LEE HURT
JACKSONVILLE, FL
NPI
1316680457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0102208072)
Enumeration Date
2022-04-17
Last Update Date
2023-11-01
Business Address
BENTON LEE HURT DO
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214-5000
Phone number: 904-542-7300
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Mailing Address
BENTON LEE HURT DO
104 TAMARA CIR
FRANKLIN, TN 37069-4521
Phone number: 615-761-6200
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