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1720401987
MICHELLE MAE BONIFACIO
PASADENA, CA
NPI
1720401987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 38889)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
Ms. MICHELLE MAE BONIFACIO RPT
550 N CATALINA AVE APT. 8
PASADENA, CA 91106-1033
Phone number: 626-644-9712
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Mailing Address
Ms. MICHELLE MAE BONIFACIO RPT
550 N CATALINA AVE APT. 8
PASADENA, CA 91106-1033
Phone number: 626-644-9712
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