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1700501830
HARLEY BONNIVILLE
WILLIAMSBURG, VA
NPI
1700501830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0024184256)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
HARLEY BONNIVILLE CPNP-PC
119 BULIFANTS BLVD
WILLIAMSBURG, VA 23188-5747
Phone number: 757-564-7337
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Mailing Address
HARLEY BONNIVILLE CPNP-PC
2513 SPRING BRIDGE PL
SANDSTON, VA 23150-4409
Phone number: 804-971-3420
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