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1902122591
AUDREY PHILLIPS BENNETT
COLUMBIA, MD
NPI
1902122591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL A0310068)
Enumeration Date
2010-04-08
Last Update Date
2024-08-26
Business Address
AUDREY PHILLIPS BENNETT CRNP
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: 251-604-4785
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Mailing Address
AUDREY PHILLIPS BENNETT CRNP
224 LIGHTHOUSE DR
DOTHAN, AL 36305-7302
Phone number: 334-798-1555
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