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1669020665
COREY BENNETT
LAWRENCEVILLE, GA
NPI
1669020665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
COREY BENNETT
2330 HIS WAY
LAWRENCEVILLE, GA 30044-2208
Phone number: 678-707-4358
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Mailing Address
COREY BENNETT
2330 HIS WAY
LAWRENCEVILLE, GA 30044-2208
Phone number:
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