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Individual
MRS. ERIN LEIGH BENNETT
Active
Individual
MRS. ERIN LEIGH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S2
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61090769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165521
—
WA
Enumeration date
04/13/2020
Last updated
05/05/2021
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