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1639247703
BENJIL LIGHTFOOT
MINNETONKA, MN
NPI
1639247703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN154623)
Enumeration Date
2006-11-30
Last Update Date
2020-09-23
Business Address
BENJIL LIGHTFOOT
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 478-335-5437
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Mailing Address
BENJIL LIGHTFOOT
2953 ARMSTRONG DR
MACON, GA 31211-2728
Phone number: 478-335-5437
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