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1043582406
BONIFACIO TAN AGUILERA
JOHNSTOWN, PA
NPI
1043582406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA 17585E)
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
BONIFACIO TAN AGUILERA M.D.
307 TERLYN DRIVE
JOHNSTOWN, PA 15904
Phone number: 814-467-6378
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Mailing Address
BONIFACIO TAN AGUILERA M.D.
307 TERLYN DRIVE
JOHNSTOWN, PA 15904
Phone number: 814-467-6378
Copy
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