Raelyn Bennett

NPI #1255955894 in Ada, Oklahoma

Provider Information

NPI Number
1255955894
Entity Type
Individual
Name
Raelyn Bennett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
May 29, 2020
Last Updated
May 29, 2020

Practice Location

Address
314 S BROADWAY AVE STE 116
City
Ada
ZIP Code
74820-5818
Phone
(605) 370-2560

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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