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1417333188
REGINA BENNETT
BENTON, AR
NPI
1417333188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A005962)
Enumeration Date
2015-08-05
Last Update Date
2018-12-11
Business Address
REGINA BENNETT APN
1 MEDICAL PARK DR
BENTON, AR 72015-3353
Phone number: 501-574-7130
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Mailing Address
REGINA BENNETT APN
1 MEDICAL PARK DR
BENTON, AR 72015-3353
Phone number: 501-574-7130
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