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1669404380
BONNIE MICHELLE MORENO HARRIS
LONG BEACH, CA
NPI
1669404380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA14731)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Mr. BONNIE MICHELLE MORENO HARRIS PA
2495 PINE AVE
LONG BEACH, CA 90806-3029
Phone number: 562-477-4244
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Mailing Address
Mr. BONNIE MICHELLE MORENO HARRIS PA
2495 PINE AVE
LONG BEACH, CA 90806-3029
Phone number: 562-477-4244
Copy
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