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1629598305
VICTORIA BENNETT
HARROGATE, TN
NPI
1629598305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
VICTORIA BENNETT
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752-8245
Phone number: 423-869-3611
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Mailing Address
VICTORIA BENNETT
1920 OLD SNOW HILL RD
DOWELLTOWN, TN 37059-2201
Phone number: 615-785-6967
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