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1932743747
MARK DEBENEDICTIS
FORT MYERS, FL
NPI
1932743747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
MARK DEBENEDICTIS
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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Mailing Address
MARK DEBENEDICTIS
3763 EVANS AVE
FORT MYERS, FL 33901-9302
Phone number: 239-791-1586
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