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Individual

EILEEN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
2300 W INNES ST, HAYES FIELD HOUSE ATHLETIC TRAINING, SALISBURY, NC 28144-2441
(704) 637-4350
Mailing address
2300 W INNES ST, HAYES FIELD HOUSE ATHLETIC TRAINING, SALISBURY, NC 28144-2441
(704) 637-4350

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2256
NC

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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