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1689800864
PAUL E BENNETTS
ELMENDORF AFB, AK
NPI
1689800864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
-- PAUL E BENNETTS IDMT
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506-3702
Phone number: 907-580-1910
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Mailing Address
-- PAUL E BENNETTS IDMT
3804 RESURRECTION DR
ANCHORAGE, AK 99504-4719
Phone number: 907-677-8173
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