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1295882512
BONITA ACOSTA
CANYONVILLE, OR
NPI
1295882512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 078040445N1)
Enumeration Date
2007-01-05
Last Update Date
2011-12-29
Business Address
-- BONITA ACOSTA FNP
115 SW PINE STREET
CANYONVILLE, OR 97417-0198
Phone number: 541-839-4211
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Mailing Address
-- BONITA ACOSTA FNP
PO BOX 198
CANYONVILLE, OR 97417-0198
Phone number: 541-839-4211
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