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1518586684
LATISHA ANN BENNETT
DALLAS, TX
NPI
1518586684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP144394)
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
LATISHA ANN BENNETT
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-590-5306
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Mailing Address
LATISHA ANN BENNETT
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-590-5306
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