EDITH BONGE

LITTLE ROCK, AR
NPI1386657906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  029)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
Mrs. EDITH BONGE RD/LD
4300 WEST 7TH ST 11HC/LR
LITTLE ROCK, AR 72205
Phone number: 501-257-5084
Mailing Address
Mrs. EDITH BONGE RD/LD
136 LIMOGES CT
MAUMELLE, AR 72113-6765
Phone number: 501-851-0238
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