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1700302528
AMANDA ELIZABETH BENNETT
CARSON CITY, MI
NPI
1700302528
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Former Name
AMANDA ELIZABETH THELEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704282874)
Enumeration Date
2017-08-15
Last Update Date
2018-02-08
Business Address
MRS. AMANDA ELIZABETH BENNETT FNP-C
102 SOUTH THRID STREET SUITE 100
CARSON CITY, MI 48811
Phone number: 989-584-1308
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Mailing Address
MRS. AMANDA ELIZABETH BENNETT FNP-C
PO BOX 13008
LANSING, MI 48901-3008
Phone number: 517-253-6320
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