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1578141032
KIRBY WAYNE BONVILLAIN
CHARLOTTE, NC
NPI
1578141032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NC BONV-MC1W4U)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
Dr. KIRBY WAYNE BONVILLAIN MD
1025 MOREHEAD MEDICAL DR STE 300
CHARLOTTE, NC 28204-2966
Phone number: 704-446-2772
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Mailing Address
Dr. KIRBY WAYNE BONVILLAIN MD
1025 MOREHEAD MEDICAL DR STE 300
CHARLOTTE, NC 28204-2966
Phone number: 704-446-2772
Copy
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