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STEPHANIE BENNETT

Prosthetics Case Management >> Specialist >> Other Service Providers

Registrant NPI Number: 1336678044

Individual Registrant:
 STEPHANIE  BENNETT 
Gender: F
Sole Proprietor

Location and contact information for practice:
407 FAIRFAX DR APT 32  FAIRFIELD, AL 35064-1063 US
Tel: (20-5) -370-0686  Fax: --

Contact information for business:
407 FAIRFAX DR APT 32  FAIRFIELD, AL 35064-1063 US
Tel: 205-370-0686  Fax: --

Registration Information:
NPI: 1336678044
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1744P3200XOther Service Providers
Specialist
Prosthetics Case Management
AL132034

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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