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1891919213
TED BENNETT
JACKSON, MS
NPI
1891919213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: MS 46753)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
TED BENNETT PH.D.
1500 E WOODROW WILSON AVE OFFICE A370
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
TED BENNETT PH.D.
437 MOCKINGBIRD CIR
BRANDON, MS 39047-7337
Phone number: 601-919-3399
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