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Individual
MRS. SANDRA KAY BENNETT
Active
Individual
MRS. SANDRA KAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
APRN.CNP.023226
OH
Other
Enumeration date
07/18/2018
Last updated
04/15/2021
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