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Individual

NICOLE I BENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
123 FORSTER ST, ASSOCIATION OFFICE, HARRISBURG AREA YMCA, HARRISBURG, PA 17102-3409
(717) 515-4402
Mailing address
5238 STRATHMORE DR, MECHANICSBURG, PA 17050-6816

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001026
PA

Other

Enumeration date
04/21/2014
Last updated
04/21/2014
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