BRUCE A. BOLONESI

MURRAY, UT
NPI1619928199
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  106591-1206)
Enumeration Date2006-05-12
Last Update Date2011-10-17
Business Address
-- BRUCE A. BOLONESI PA-C
5131 COTTONWOOD ST # L-2
MURRAY, UT 84107-5701
Phone number: 801-263-3416
Mailing Address
-- BRUCE A. BOLONESI PA-C
1121 E 3900 S SUITE C-240
SALT LAKE CITY, UT 84124-1214
Phone number: 801-263-3416
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