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Individual

JOSEPH BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PARAMEDIC

Contact information

Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7032
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7032

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
0200024
AL
146L00000X
Paramedic
Primary
M8056537
AL

Other

Enumeration date
10/31/2014
Last updated
10/31/2014
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