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1548492291
LAWRENCE BONHAM
LOS GATOS, CA
NPI
1548492291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA C38511)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
Dr. LAWRENCE BONHAM MD
14704 SHANNON RD
LOS GATOS, CA 95032-5751
Phone number: 408-356-5603
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Mailing Address
Dr. LAWRENCE BONHAM MD
PO BOX 2328
LOS GATOS, CA 95031-2328
Phone number: 408-356-5603
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