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Individual

ROONGROTE BENNETT

Active
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Individual

ROONGROTE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
1043780547
MI
227900000X
Registered Respiratory Therapist

Other

Enumeration date
11/28/2018
Last updated
08/04/2021
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