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1912423518
ANGELA BENNETT
KEIZER, OR
NPI
1912423518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201407422LPN)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
ANGELA BENNETT LPN
4647 LOWELL AVE NE
KEIZER, OR 97303-3842
Phone number: 503-508-9609
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Mailing Address
ANGELA BENNETT LPN
4647 LOWELL AVE NE
KEIZER, OR 97303-3842
Phone number:
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