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1205411204
MCKENZIE BONIFIELD
CARBONDALE, IL
NPI
1205411204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209022703)
Enumeration Date
2021-03-11
Last Update Date
2021-03-17
Business Address
MCKENZIE BONIFIELD
400 S LEWIS LN
CARBONDALE, IL 62901-3547
Phone number: 618-519-9200
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Mailing Address
MCKENZIE BONIFIELD
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-519-9200
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