BONIFACIO TAN AGUILERA

JOHNSTOWN, PA
NPI1043582406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  17585E)
Enumeration Date2012-02-01
Last Update Date2012-02-01
Business Address
-- BONIFACIO TAN AGUILERA M.D.
307 TERLYN DRIVE
JOHNSTOWN, PA 15904
Phone number: 814-467-6378
Mailing Address
-- BONIFACIO TAN AGUILERA M.D.
307 TERLYN DRIVE
JOHNSTOWN, PA 15904
Phone number: 814-467-6378
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