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1417375809
JEFFREY BENTLEY
CAMP LEJEUNE, NC
NPI
1417375809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-04-02
Last Update Date
2014-04-02
Business Address
Mr. JEFFREY BENTLEY SOIDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-6109
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Mailing Address
Mr. JEFFREY BENTLEY SOIDC
3D MARINE SPECIAL OPERATIONS BATTALION PSC BOX 20073
CAMP LEJEUNE, NC 28542
Phone number: 910-450-6109
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