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1619907953
RANDALL PAUL BENNETT
PUYALLUP, WA
NPI
1619907953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: WA MD22922)
Enumeration Date
2006-07-03
Last Update Date
2015-10-20
Business Address
-- RANDALL PAUL BENNETT MD
104 27TH AVE SE
PUYALLUP, WA 98374-1145
Phone number: 253-770-9000
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Mailing Address
-- RANDALL PAUL BENNETT MD
PO BOX 1205
PUYALLUP, WA 98371-0231
Phone number: 253-770-9000
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