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1003585340
CARLOS JACOB BONILLA
BAKERSFIELD, CA
NPI
1003585340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-09
Last Update Date
2023-10-06
Business Address
CARLOS JACOB BONILLA
2621 OSWELL ST
BAKERSFIELD, CA 93306-3172
Phone number: 661-868-6750
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Mailing Address
CARLOS JACOB BONILLA
PO BOX 1000
BAKERSFIELD, CA 93302-1000
Phone number:
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