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1184700841
BONNIE MARIE LIVELY
CHARLESTON, WV
NPI
1184700841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV APRN56320)
Enumeration Date
2006-10-27
Last Update Date
2019-06-27
Business Address
Mrs. BONNIE MARIE LIVELY APRN-CRNA
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-388-6220
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Mailing Address
Mrs. BONNIE MARIE LIVELY APRN-CRNA
PO BOX 1547
CHARLESTON, WV 25326-1547
Phone number: 304-388-1724
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