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1376861690
MARY M BONOMO
PHILADELPHIA, PA
NPI
1376861690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: PA ma051566)
Enumeration Date
2010-05-11
Last Update Date
2010-05-11
Business Address
Ms. MARY M BONOMO P.A.
5501 OLD YORK RD KLEIN 510
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6933
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Mailing Address
Ms. MARY M BONOMO P.A.
5501 OLD YORK RD KLEIN 510
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6933
Copy
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