Individual
MR. JEFFREY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-6109
Mailing address
3D MARINE SPECIAL OPERATIONS BATTALION, PSC BOX 20073, CAMP LEJEUNE, NC 28542
(910) 450-6109
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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