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1821310426
AMITHA BENA OMONUWA
CAPE CORAL, FL
NPI
1821310426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9109689)
Enumeration Date
2010-02-23
Last Update Date
2021-03-29
Business Address
AMITHA BENA OMONUWA PA-C
708 DEL PRADO BLVD S STE 3
CAPE CORAL, FL 33990-2676
Phone number: 239-343-9960
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Mailing Address
AMITHA BENA OMONUWA PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9960
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