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1083741748
JEREMY LOUIS BONWELL
PASADENA, CA
NPI
1083741748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. JEREMY LOUIS BONWELL
66 HURLBUT ST
PASADENA, CA 91105-4025
Phone number: 626-441-4221
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Mailing Address
Mr. JEREMY LOUIS BONWELL
PO BOX 93732
PASADENA, CA 91109-3732
Phone number:
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