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1992137368
TARA ALEA BENNETT
ROCK HILL, SC
NPI
1992137368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 18300)
Enumeration Date
2013-08-07
Last Update Date
2021-08-23
Business Address
MRS. TARA ALEA BENNETT FNP
500 LAKESHORE PKWY
ROCK HILL, SC 29730-4273
Phone number: 803-818-6955
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Mailing Address
MRS. TARA ALEA BENNETT FNP
500 LAKESHORE PKWY
ROCK HILL, SC 29730-4273
Phone number: 803-818-6955
Copy
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