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1629030960
EDWARD JOHN BONAVILLA
ROCHESTER, NY
NPI
1629030960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY 002178)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
Dr. EDWARD JOHN BONAVILLA DPM
490 TITUS AVE
ROCHESTER, NY 14617-3541
Phone number: 585-544-3620
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Mailing Address
Dr. EDWARD JOHN BONAVILLA DPM
490 TITUS AVE
ROCHESTER, NY 14617-3541
Phone number: 585-544-3620
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