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1972131464
JOSE A. BONILLA
SALT LAKE CITY, UT
NPI
1972131464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 13867759-1205)
Enumeration Date
2020-03-30
Last Update Date
2024-04-09
Business Address
JOSE A. BONILLA MD, MBA
HELIX: 30 N MARIO CAPECCHI DR RM 5N141
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
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Mailing Address
JOSE A. BONILLA MD, MBA
HELIX: 30 N MARIO CAPECCHI DR RM 5N141
SALT LAKE CITY, UT 84112
Phone number: 801-581-2121
Copy
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