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1386637155
JUSTIN M BENNETT
MERRYVILLE, LA
NPI
1386637155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP04254)
Enumeration Date
2005-08-26
Last Update Date
2019-10-17
Business Address
Mr. JUSTIN M BENNETT N.P.
567 WALKER ST
MERRYVILLE, LA 70653-3040
Phone number: 337-825-1728
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Mailing Address
Mr. JUSTIN M BENNETT N.P.
806 JEFFERSON TER
NEW IBERIA, LA 70560-5727
Phone number: 337-365-4945
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