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Individual

RHEA TEASLEY-BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1350 TULIP ST, LONGMONT, CO 80501-3140
(303) 709-1636
Mailing address
1411 CEDARWOOD DR, LONGMONT, CO 80504-8786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN.0994353.NP
CO

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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