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1144066531
JUSTIN MICHAEL BONANNO
PORT ANGELES, WA
NPI
1144066531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: WA RN60979296)
Enumeration Date
2024-07-04
Last Update Date
2024-07-04
Business Address
JUSTIN MICHAEL BONANNO RN
939 CAROLINE ST
PORT ANGELES, WA 98362-3997
Phone number: 360-417-7000
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Mailing Address
JUSTIN MICHAEL BONANNO RN
136 ORCAS AVE
PORT ANGELES, WA 98362-2552
Phone number: 424-212-2515
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