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Jackie Bennett, LMP, CLT
NPI 1134412596 · on the registry since 2011 · sole proprietor
Practice
- Address
- 10508 123rd Street Ct E
Puyallup, WA 98374 - Phone
- (253) 209-6276
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington