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1154378289
JENNIFER L BONAFEDE
LOUISVILLE, KY
NPI
1154378289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA753)
Enumeration Date
2006-05-26
Last Update Date
2021-06-23
Business Address
JENNIFER L BONAFEDE PA-C
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205-3373
Phone number: 502-891-8300
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Mailing Address
JENNIFER L BONAFEDE PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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