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1669972543
DAVID BENNER
LAWTON, OK
NPI
1669972543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
DAVID BENNER
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-248-5780
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Mailing Address
DAVID BENNER
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number:
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