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1134536105
LORI BONAFEDE
SCRANTON, PA
NPI
1134536105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP013243)
Enumeration Date
2014-07-22
Last Update Date
2019-06-24
Business Address
LORI BONAFEDE
743 JEFFERSON AVE SUITE 203
SCRANTON, PA 18510-1635
Phone number: 570-344-9997
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Mailing Address
LORI BONAFEDE
610 WYOMING AVE
KINGSTON, PA 18704-3702
Phone number: 570-288-5441
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