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1851785695
NICOLE BENNINGHOFF
CAPE CORAL, FL
NPI
1851785695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: FL OTA 13952)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
-- NICOLE BENNINGHOFF COTA/L
216 SANTA BARBARA BLVD
CAPE CORAL, FL 33991-2031
Phone number: 330-703-7273
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Mailing Address
-- NICOLE BENNINGHOFF COTA/L
314 SW 15TH TER
CAPE CORAL, FL 33991-8000
Phone number: 330-703-7273
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