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1225644743
BETHANY BONIFANT
FORT WORTH, TX
NPI
1225644743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 115695)
Enumeration Date
2020-09-21
Last Update Date
2023-11-27
Business Address
BETHANY BONIFANT
5301 BRYANT IRVIN RD
FORT WORTH, TX 76132-4030
Phone number: 817-422-0561
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Mailing Address
BETHANY BONIFANT
7201 WIND CHIME DR
FORT WORTH, TX 76133-7001
Phone number: 318-676-9179
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