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1730687153
STEVEN GREGORY BENNETT
WILMINGTON, NC
NPI
1730687153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A5999)
Enumeration Date
2018-01-31
Last Update Date
2018-01-31
Business Address
Mr. STEVEN GREGORY BENNETT PTA
5725 CAROLINA BEACH RD
WILMINGTON, NC 28412-2611
Phone number: 910-792-1455
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Mailing Address
Mr. STEVEN GREGORY BENNETT PTA
5725 CAROLINA BEACH RD
WILMINGTON, NC 28412-2611
Phone number:
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