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1396045241
EDDIE AMOS BONNER
SAN ANGELO, TX
NPI
1396045241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 680179)
Enumeration Date
2010-10-26
Last Update Date
2011-06-17
Business Address
-- EDDIE AMOS BONNER NP
120 E HARRIS AVE
SAN ANGELO, TX 76903-5904
Phone number: 325-657-5028
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Mailing Address
-- EDDIE AMOS BONNER NP
120 E HARRIS AVE
SAN ANGELO, TX 76903-5904
Phone number: 325-657-5028
Copy
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