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1205101730
DEAN LOUIS BONANNO
PRINEVILLE, OR
NPI
1205101730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
Mr. DEAN LOUIS BONANNO
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-323-5330
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Mailing Address
Mr. DEAN LOUIS BONANNO
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number:
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