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1528599867
MARK GERALD M BONIFACIO
EL MONTE, CA
NPI
1528599867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95006060)
Enumeration Date
2017-03-27
Last Update Date
2023-09-20
Business Address
MARK GERALD M BONIFACIO NP
2727 PECK RD
EL MONTE, CA 91733-2434
Phone number: 626-350-2196
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Mailing Address
MARK GERALD M BONIFACIO NP
2727 PECK RD
EL MONTE, CA 91733-2434
Phone number: 626-350-2196
Copy
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