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Individual

SUSAN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
5466 RIVER RD N, KEIZER, OR 97303-4483
(503) 393-2222
(502) 393-2723
Mailing address
1746 W 10TH AVE, EUGENE, OR 97402-3710
(541) 342-7678
(541) 342-7223

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10170701
OR

Other

Enumeration date
05/11/2016
Last updated
05/11/2016
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