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1902262231
GLENN BONILLA
BAKERSFIELD, CA
NPI
1902262231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003592)
Enumeration Date
2015-12-31
Last Update Date
2015-12-31
Business Address
Mr. GLENN BONILLA NP-C
2615 CHESTER AVE
BAKERSFIELD, CA 93301-2014
Phone number: 661-395-3000
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Mailing Address
Mr. GLENN BONILLA NP-C
10314 STONEHAM ST
BAKERSFIELD, CA 93314-8032
Phone number: 661-444-6446
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