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1962867838
AMANDA BENNETT
LAKELAND, FL
NPI
1962867838
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Former Name
AMANDA BAYLESS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL AL3539)
Enumeration Date
2015-12-21
Last Update Date
2015-12-21
Business Address
-- AMANDA BENNETT ATC, LAT, PES, EMT-B
705 CENTRAL PARKE CIR APT 208
LAKELAND, FL 33805-9590
Phone number: 865-556-9589
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Mailing Address
-- AMANDA BENNETT ATC, LAT, PES, EMT-B
705 CENTRAL PARKE CIR APT 208
LAKELAND, FL 33805-9590
Phone number: 865-556-9589
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