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1245692466
KATHLEEN MARIE BONEBRAKE
SALT LAKE CITY, UT
NPI
1245692466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 10505880-1205)
Enumeration Date
2016-03-26
Last Update Date
2021-10-28
Business Address
Dr. KATHLEEN MARIE BONEBRAKE MD
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Phone number: 801-587-8626
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Mailing Address
Dr. KATHLEEN MARIE BONEBRAKE MD
32 O STREET
SALT LAKE CITY, UT 84103-3040
Phone number: 435-559-2829
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