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1316553746
JOE BONAZZA
CHARLESTON, WV
NPI
1316553746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: WV 73481)
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
JOE BONAZZA RN
1508 BIGLEY AVE STE A
CHARLESTON, WV 25302-3904
Phone number: 304-935-1069
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Mailing Address
JOE BONAZZA RN
1508 BIGLEY AVE STE A
CHARLESTON, WV 25302-3904
Phone number: 304-935-1069
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