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1710266234
ROBERT VINCENT BONANNO
SHIRLEY, NY
NPI
1710266234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293365)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
Mr. ROBERT VINCENT BONANNO LPN
108 CHANEL DR E
SHIRLEY, NY 11967-3832
Phone number: 631-905-7392
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Mailing Address
Mr. ROBERT VINCENT BONANNO LPN
108 CHANEL DR E
SHIRLEY, NY 11967-3832
Phone number: 631-905-7392
Copy
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