Individual
CARMEN L BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 LANTON RD. #4, WEST PLAINS, MO 65775-4759
(417) 274-3715
Mailing address
1111 LANTON RD. #4, WEST PLAINS, MO 65775-4759
(417) 274-3715
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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