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1710593967
JESSICA J BONILLA
HILLSBORO, OR
NPI
1710593967
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Other Name
N/A N/A
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OR 202008134NP-PP)
Enumeration Date
2020-09-22
Last Update Date
2021-07-26
Business Address
JESSICA J BONILLA CNM
333 SE 7TH AVE
HILLSBORO, OR 97123-4157
Phone number: 503-597-4500
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Mailing Address
JESSICA J BONILLA CNM
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-352-8657
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