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1619345402
ASHLYNN BENNETT
LAUREL, MS
NPI
1619345402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R894317)
Enumeration Date
2015-09-10
Last Update Date
2020-05-28
Business Address
ASHLYNN BENNETT
1410 JEFFERSON ST
LAUREL, MS 39440-4243
Phone number: 601-425-4860
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Mailing Address
ASHLYNN BENNETT
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-425-7550
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