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1992146914
EVELYN BONILLA LINE
HUNTINGTON BEACH, CA
NPI
1992146914
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Former Name
EVELYN AUBREY BONILLA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP28033)
Enumeration Date
2013-07-08
Last Update Date
2020-07-01
Business Address
EVELYN BONILLA LINE M.S., CCC-SLP
7812 EDINGER AVE #400
HUNTINGTON BEACH, CA 92647
Phone number: 714-916-0641
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Mailing Address
EVELYN BONILLA LINE M.S., CCC-SLP
605 LAKEVIEW LN
COSTA MESA, CA 92626-3132
Phone number: 714-651-1264
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