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1336749886
TINA LEE BENNETT
SUMMERSVILLE, WV
NPI
1336749886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
TINA LEE BENNETT
1205 BROAD ST
SUMMERSVILLE, WV 26651-1805
Phone number: 304-872-1162
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Mailing Address
TINA LEE BENNETT
1205 BROAD ST
SUMMERSVILLE, WV 26651-1805
Phone number:
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