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1922713676
JESSICA BONILLA
JOHNS CREEK, GA
NPI
1922713676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA GAA-NP001609)
Enumeration Date
2023-01-17
Last Update Date
2023-12-18
Business Address
JESSICA BONILLA FNP-C
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA 30097-3515
Phone number: 770-497-1555
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Mailing Address
JESSICA BONILLA FNP-C
11459 JOHNS CREEK PKWY
JOHNS CREEK, GA 30097-3515
Phone number: 770-497-1555
Copy
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