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1427225754
JACK J BONURA
REDDING, CA
NPI
1427225754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30369)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Dr. JACK J BONURA DDS
1931 CANBY RD
REDDING, CA 96002-0338
Phone number: 530-222-1000
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Mailing Address
Dr. JACK J BONURA DDS
1931 CANBY RD
REDDING, CA 96002-0338
Phone number: 530-222-1000
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