BENNIE WOOTEN

PLYMOUTH MEETING, PA
NPI1912170903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: IN  48-01-07-00759)
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
-- BENNIE WOOTEN
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
Mailing Address
-- BENNIE WOOTEN
13213 WEST RD
WESTFIELD, IN 46074-8489
Phone number:
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