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Individual
ANDREW BENNETT
Active
Individual
ANDREW BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60865808
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61200870
WA
Other
Enumeration date
05/31/2021
Last updated
11/04/2022
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