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1508413113
JEFFREY BOGNOT
LONG BEACH, CA
NPI
1508413113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 701330)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
JEFFREY BOGNOT
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
JEFFREY BOGNOT
7785 11TH ST
BUENA PARK, CA 90621-3450
Phone number: 714-262-5205
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