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1174777023
MICHAEL BONELLI
PHILADELPHIA, PA
NPI
1174777023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN540369)
Enumeration Date
2008-11-05
Last Update Date
2018-04-27
Business Address
MICHAEL BONELLI CRNA
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3326
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Mailing Address
MICHAEL BONELLI CRNA
2450W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3911
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