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1952068306
CARL JOSEPH BONANNO
PEORIA, AZ
NPI
1952068306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
CARL JOSEPH BONANNO
11301 N 99TH AVE
PEORIA, AZ 85345-5466
Phone number: 623-977-9373
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Mailing Address
CARL JOSEPH BONANNO
10714 W WELK DR
SUN CITY, AZ 85373-1841
Phone number: 623-330-3502
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