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1922713080
RICHARD BENNETT
AUGUSTA, GA
NPI
1922713080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
RICHARD BENNETT
2052 BROAD ST
AUGUSTA, GA 30904-3025
Phone number: 706-414-1939
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Mailing Address
RICHARD BENNETT
2052 BROAD ST
AUGUSTA, GA 30904-3025
Phone number:
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