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1891713178
BARRY BENNETT
IDAHO FALLS, ID
NPI
1891713178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-6374)
Enumeration Date
2006-07-17
Last Update Date
2007-07-09
Business Address
Dr. BARRY BENNETT MD
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-5948
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Mailing Address
Dr. BARRY BENNETT MD
2775 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-524-5948
Copy
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