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1912256256
CHAD BENNINGHOFF
SAN MARCOS, TX
NPI
1912256256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ AP7707)
Enumeration Date
2012-08-31
Last Update Date
2016-08-02
Business Address
CHAD BENNINGHOFF NP
1301 WONDER WORLD DR
SAN MARCOS, TX 78666-7533
Phone number: 512-353-8979
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Mailing Address
CHAD BENNINGHOFF NP
160 RAINTREE DR
KYLE, TX 78640-5837
Phone number: 512-203-0413
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