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1053900159
JACKSON PAUL BONFIGLIO
BARBERTON, OH
NPI
1053900159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 1182247)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
JACKSON PAUL BONFIGLIO PA-C
155 5TH ST NE
BARBERTON, OH 44203-3332
Phone number: 330-615-3000
Copy
Mailing Address
JACKSON PAUL BONFIGLIO PA-C
3713 CHESTERTON DR
TOLEDO, OH 43615-1173
Phone number: 419-708-4565
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