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1255333860
BONITA J O'REILLY
PORTAGE, MI
NPI
1255333860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 47-04-102421)
Enumeration Date
2005-08-12
Last Update Date
2018-03-17
Business Address
BONITA J O'REILLY FNP
8191 MOORSBRIDGE RD STE A
PORTAGE, MI 49024-7417
Phone number: 269-312-8170
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Mailing Address
BONITA J O'REILLY FNP
5110 STONEY BROOK RD
KALAMAZOO, MI 49009-3846
Phone number: 269-372-3068
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