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1770836009
ANGELA BONAVENTURA
BERKELEY, CA
NPI
1770836009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QS1000X Clinic/Center, Student Health
(Licence: CA 534932)
Enumeration Date
2012-10-24
Last Update Date
2012-10-24
Business Address
-- ANGELA BONAVENTURA RN
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 510-642-3188
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Mailing Address
-- ANGELA BONAVENTURA RN
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 510-642-3188
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