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Individual

SADIE KAREAN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8545 OXFORD AVE SE, LACEY, WA 98503-6218
(360) 581-6808
Mailing address
PO BOX 5011, LACEY, WA 98509-5011
(360) 581-6808

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60258016
WA

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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