DOUGLAS RYAN BENNETT

RALEIGH, NC
NPI1386668317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  1090)
Enumeration Date2006-07-26
Last Update Date2013-09-06
Business Address
-- DOUGLAS RYAN BENNETT LAT, ATC
1400 EDWARDS MILL RD
RALEIGH, NC 27607-3624
Phone number: 919-861-2308
Mailing Address
-- DOUGLAS RYAN BENNETT LAT, ATC
4804 BLACK MOUNTAIN PATH
RALEIGH, NC 27612-8604
Phone number: 814-244-2803
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