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1093770042
WAYNE RUSSSELL BONLIE
TIMONIUM, MD
NPI
1093770042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0062606)
Enumeration Date
2006-04-20
Last Update Date
2016-01-26
Business Address
-- WAYNE RUSSSELL BONLIE M.D.
30 E PADONIA RD SUITE 305
TIMONIUM, MD 21093-2345
Phone number: 410-560-7404
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Mailing Address
-- WAYNE RUSSSELL BONLIE M.D.
30 E PADONIA RD SUITE 305
TIMONIUM, MD 21093-2345
Phone number: 410-560-7404
Copy
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