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Individual
SHARON BENNETT
Active
Individual
SHARON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
56734
SC
163WC1500X
Community Health Registered Nurse
Primary
56734
SC
163WM0102X
Maternal Newborn Registered Nurse
56734
SC
163WN1003X
Nutrition Support Registered Nurse
56734
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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