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1780167387
SARAH BONASSO
FAIRMONT, WV
NPI
1780167387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WV 85838)
Enumeration Date
2018-09-10
Last Update Date
2022-04-12
Business Address
SARAH BONASSO PNP
101 TYGART MALL LOOP STE 102A
FAIRMONT, WV 26554-2972
Phone number: 304-599-8000
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Mailing Address
SARAH BONASSO PNP
1247 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV 26505-1876
Phone number: 304-599-8000
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