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1710525092
REX ROSS BENNETT
SANTA CRUZ, CA
NPI
1710525092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
MR. REX ROSS BENNETT
22687 E CLIFF DR
SANTA CRUZ, CA 95062-5357
Phone number: 831-596-8866
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Mailing Address
MR. REX ROSS BENNETT
22687 E CLIFF DR
SANTA CRUZ, CA 95062-5357
Phone number: 831-596-8866
Copy
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