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1063899243
JOEL BONILLA-LARSEN
SACRAMENTO, CA
NPI
1063899243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
-- JOEL BONILLA-LARSEN MD
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307
Phone number: 916-734-3630
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Mailing Address
-- JOEL BONILLA-LARSEN MD
4860 Y ST STE 1600
SACRAMENTO, CA 95817-2307
Phone number:
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