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1699197392
DANIEL JOSUE BONILLA
COVINA, CA
NPI
1699197392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: HI 050802015)
Enumeration Date
2014-01-14
Last Update Date
2014-07-15
Business Address
Mr. DANIEL JOSUE BONILLA MS, ATC
16754 E BELLBROOK ST
COVINA, CA 91722-2404
Phone number: 626-905-8437
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Mailing Address
Mr. DANIEL JOSUE BONILLA MS, ATC
16754 E BELLBROOK ST
COVINA, CA 91722-2404
Phone number: 626-905-8437
Copy
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