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1851561039
GEORGE EARL BENNETT
PHOENIX, AZ
NPI
1851561039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 116430)
Enumeration Date
2008-03-04
Last Update Date
2008-03-04
Business Address
Mr. GEORGE EARL BENNETT PTA
7540 NORTH 19TH AVEN 200
PHOENIX, AZ 85021
Phone number: 888-873-4221
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Mailing Address
Mr. GEORGE EARL BENNETT PTA
7540 NORTH 19TH AVEN 200 SYNERTX REHAB
PHOENIX, AZ 85021
Phone number:
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