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1104198316
LISA SHAY BONO
KITTANNING, PA
NPI
1104198316
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Former Name
LISA FULLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP011517)
Enumeration Date
2012-02-02
Last Update Date
2021-09-15
Business Address
LISA SHAY BONO CRNP
1 NOLTE DR
KITTANNING, PA 16201-7111
Phone number: 833-246-7662
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Mailing Address
LISA SHAY BONO CRNP
1 NOLTE DR
KITTANNING, PA 16201-7111
Phone number: 833-246-7662
Copy
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