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1417531765
AUSTIN LOUIS BENTLEY
LA PLATA, MD
NPI
1417531765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C08130)
Enumeration Date
2021-05-11
Last Update Date
2021-09-13
Business Address
Mr. AUSTIN LOUIS BENTLEY PA
701 CHARLES ST
LA PLATA, MD 20646-5930
Phone number: 240-686-2300
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Mailing Address
Mr. AUSTIN LOUIS BENTLEY PA
2612 PEBBLEBROOK TERRACE CT
WALDORF, MD 20603-3970
Phone number: 301-706-1894
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