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1336223288
ORVIAL LEE BENNETT
CARROLLTON, TX
NPI
1336223288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00212)
Enumeration Date
2006-10-25
Last Update Date
2010-03-05
Business Address
ORVIAL LEE BENNETT PA
4333 N JOSEY LN STE 104
CARROLLTON, TX 75010-4620
Phone number: 972-394-4500
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Mailing Address
ORVIAL LEE BENNETT PA
4333 N JOSEY LN STE 104
CARROLLTON, TX 75010-4620
Phone number: 972-394-4500
Copy
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