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1760038368
BRENDA F BONGETTA
LAS CRUCES, NM
NPI
1760038368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2019-0064)
Enumeration Date
2019-08-11
Last Update Date
2022-09-20
Business Address
BRENDA F BONGETTA PA-C
3331 DEL REY BLVD
LAS CRUCES, NM 88012-7713
Phone number: 575-373-1033
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Mailing Address
BRENDA F BONGETTA PA-C
PO BOX 370
HATCH, NM 87937-0370
Phone number: 575-267-3270
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