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1083024012
PATRICK JOSEPH ATKINS BONAVITACOLA
LOS ANGELES, CA
NPI
1083024012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 143925)
Enumeration Date
2014-04-29
Last Update Date
2016-11-14
Business Address
-- PATRICK JOSEPH ATKINS BONAVITACOLA M.D.
760 WESTWOOD PLZ # C8193 APT 2R
LOS ANGELES, CA 90024-5055
Phone number: 413-281-6737
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Mailing Address
-- PATRICK JOSEPH ATKINS BONAVITACOLA M.D.
936 21ST ST APT E
SANTA MONICA, CA 90403-3437
Phone number: 413-281-6737
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