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1871167098
MICHAELA ALEXUS BENNETT
ATLANTA, GA
NPI
1871167098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
MICHAELA ALEXUS BENNETT
720 WESTVIEW DR SW PHYSICIAN ASSISTANT STUDIES
ATLANTA, GA 30310-1458
Phone number: 404-756-1959
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Mailing Address
MICHAELA ALEXUS BENNETT
353 POETS WALK
IRMO, SC 29063-7745
Phone number: 803-760-9730
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