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JOHN FORREST BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4800 SAND POINT WAY NE, M/S W-6847, SEATTLE, WA 98105-3901
(206) 987-8062
Mailing address
4800 SAND POINT WAY NE, M/S W-6847, SEATTLE, WA 98105-3901
(206) 987-8062

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP 60291199
WA

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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