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1871159301
KRISTEN BENNETT
ROSEBURG, OR
NPI
1871159301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 334935)
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
KRISTEN BENNETT
1000 SE STEPHENS ST
ROSEBURG, OR 97470-4818
Phone number: 541-900-1418
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Mailing Address
KRISTEN BENNETT
1000 SE STEPHENS ST
ROSEBURG, OR 97470-4818
Phone number: 541-900-1418
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