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Charles D Bennett, LPN

Licensed Practical Nurse in Circleville, OH. Individual provider (NPI-1).

NPI number1508501412
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1508501412
Entity type
Individual (NPI-1)
Name
Charles D Bennett
Credential
LPN
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2022
Certification date
May 4, 2022
Last updated
May 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.124587.MEDS-IVOHYes

Practice location

2065 Stoneridge Dr
Circleville, OH 43113-8956

Phone 740-500-1391

Mailing address

2065 Stoneridge Dr
Circleville, OH 43113-8956

Phone 740-500-1391

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