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1386148385
SEAN BENNETT
SALT LAKE CITY, UT
NPI
1386148385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 11405391-1205)
Enumeration Date
2018-03-23
Last Update Date
2019-09-12
Business Address
SEAN BENNETT MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
SEAN BENNETT MD
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
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