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1033724299
JEFFREY A BONACK
MILWAUKEE, WI
NPI
1033724299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 5121-226)
Enumeration Date
2020-09-14
Last Update Date
2021-11-09
Business Address
JEFFREY A BONACK BA, MDiv
2669 N RICHARDS ST
MILWAUKEE, WI 53212-2850
Phone number: 800-438-1772
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Mailing Address
JEFFREY A BONACK BA, MDiv
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 800-438-1772
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