CARLOS EDUARDO BONILLA

OREM, UT
NPI1174032122
Professional NameCARLOS EDUARDO BONILLA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  5250948-4405)
Enumeration Date2017-09-21
Last Update Date2018-03-17
Business Address
CARLOS EDUARDO BONILLA APRN
1443 WEST 800 NORTH, SUITE #302
OREM, UT 84057-3658
Phone number: 801-235-0953
Mailing Address
CARLOS EDUARDO BONILLA APRN
3527 NEWLAND LOOP
LEHI, UT 84043-4617
Phone number: 801-592-9350
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