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1912170903
BENNIE WOOTEN
PLYMOUTH MEETING, PA
NPI
1912170903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: IN 48-01-07-00759)
Enumeration Date
2008-04-10
Last Update Date
2008-04-10
Business Address
BENNIE WOOTEN
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
BENNIE WOOTEN
13213 WEST RD
WESTFIELD, IN 46074-8489
Phone number:
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