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1366526600
PAUL A BENNETT
CARBONDALE, IL
NPI
1366526600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-054875)
Enumeration Date
2006-10-24
Last Update Date
2024-05-10
Business Address
PAUL A BENNETT MD
374 E GRAND AVE # 6740
CARBONDALE, IL 62901-3962
Phone number: 618-453-3311
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Mailing Address
PAUL A BENNETT MD
3050 CHAUTAUQUA RD
CARBONDALE, IL 62901-5241
Phone number: 618-457-5980
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