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1003242207
YANISSE LEONOR BONILLA
MIAMI, FL
NPI
1003242207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA 9107385)
Enumeration Date
2013-09-19
Last Update Date
2023-03-01
Business Address
Mrs. YANISSE LEONOR BONILLA PA-C
8940 N KENDALL DR STE 101E
MIAMI, FL 33176-2166
Phone number: 305-667-8686
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Mailing Address
Mrs. YANISSE LEONOR BONILLA PA-C
15935 SW 90TH AVE
PALMETTO BAY, FL 33157-1923
Phone number: 786-226-3539
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