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1497839369
STACEY S BENNETT
DURHAM, NC
NPI
1497839369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5000506)
Enumeration Date
2006-10-25
Last Update Date
2008-01-09
Business Address
-- STACEY S BENNETT NP
2100 ERWIN RD
DURHAM, NC 27710-0001
Phone number: 919-684-8111
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Mailing Address
-- STACEY S BENNETT NP
4117 N ROXBORO ST
DURHAM, NC 27704-2121
Phone number: 919-684-8111
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