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1972852010
DANIEL COLEMAN BENNETT
WAUSAU, WI
NPI
1972852010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WI 5006-33)
Enumeration Date
2012-09-05
Last Update Date
2013-02-15
Business Address
DANIEL COLEMAN BENNETT NP
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
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Mailing Address
DANIEL COLEMAN BENNETT NP
333 PINE RIDGE BLVD
WAUSAU, WI 54401-4120
Phone number: 715-847-2121
Copy
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