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1942658422
LATYEASARAL MONQUELLA BENNETT
CHARLOTTE, NC
NPI
1942658422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5008577)
Enumeration Date
2016-05-25
Last Update Date
2019-09-03
Business Address
LATYEASARAL MONQUELLA BENNETT N.P.
7845 LITTLE AVE
CHARLOTTE, NC 28226-8198
Phone number: 704-375-0100
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Mailing Address
LATYEASARAL MONQUELLA BENNETT N.P.
607 S GENERALS BLVD
LINCOLNTON, NC 28092-3658
Phone number: 704-736-9188
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