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1578395000
BONITA PROMILA EARL
FRESNO, CA
NPI
1578395000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 740162)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
BONITA PROMILA EARL
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
BONITA PROMILA EARL
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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