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1477244010
KELLY ANNE BONAFEDE
PHILADELPHIA, PA
NPI
1477244010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP026841)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
KELLY ANNE BONAFEDE
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
KELLY ANNE BONAFEDE
453 HIDDEN OAKS DR
YARDLEY, PA 19067-5548
Phone number:
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