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1669039525
DUSTIN LANSING BENNETT
BEALE AFB, CA
NPI
1669039525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-05-24
Last Update Date
2020-07-08
Business Address
DUSTIN LANSING BENNETT PA-C
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-435-5362
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Mailing Address
DUSTIN LANSING BENNETT PA-C
2655 E DEER SPRINGS WAY APT 3130
N LAS VEGAS, NV 89086-1479
Phone number:
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