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1740422500
ALEXIS JEROME BONZON
SACRAMENTO, CA
NPI
1740422500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT 9984)
Enumeration Date
2009-03-25
Last Update Date
2009-03-25
Business Address
Mr. ALEXIS JEROME BONZON OTR/L
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-134-3708
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Mailing Address
Mr. ALEXIS JEROME BONZON OTR/L
3329 HORNSEA WAY
SACRAMENTO, CA 95834-2554
Phone number: 916-285-8746
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