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Individual

DR. CYNTHIA ELAINE BENNETT

Active
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Individual

DR. CYNTHIA ELAINE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MD00048553
WA
225400000X
Rehabilitation Practitioner
Primary
41710
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5160BE
BLUE SHIELD VM
WA
05
80031064
CO
05
8493199
WA
Enumeration date
01/17/2006
Last updated
11/24/2008
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