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1801254065
GEORGE BENNETT
SPRINGFIELD, OR
NPI
1801254065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
GEORGE BENNETT
2211 CLEAR VUE LN
SPRINGFIELD, OR 97477-1373
Phone number: 541-505-8558
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Mailing Address
GEORGE BENNETT
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-246-8770
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