Individual
GARRETT LUKE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
799 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 756-5133
(419) 744-9707
Mailing address
5392 MORNING DR, HILLIARD, OH 43026-1031
(610) 755-8243
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020598
OH
Other
Enumeration date
08/31/2022
Last updated
11/30/2022
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