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1215326657
THOMAS BONASERA
FORT PIERCE, FL
NPI
1215326657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
-- THOMAS BONASERA
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-672-8398
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Mailing Address
-- THOMAS BONASERA
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number:
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