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1528308079
KATHERINE A BONILLA
BAYSIDE, NY
NPI
1528308079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 2290380)
Enumeration Date
2013-02-20
Last Update Date
2013-02-21
Business Address
-- KATHERINE A BONILLA
21215 35TH AVE
BAYSIDE, NY 11361-1516
Phone number: 347-582-6820
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Mailing Address
-- KATHERINE A BONILLA
21215 35TH AVE
BAYSIDE, NY 11361-1516
Phone number:
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