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Individual
DR. DAVID C BONFESSUTO
Active
Individual
DR. DAVID C BONFESSUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, DC, RN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9057
TX
1835N1003X
Nutrition Support Pharmacist
40577
TX
363LF0000X
Family Nurse Practitioner
Primary
774297
TX
Other
Enumeration date
06/06/2006
Last updated
10/08/2013
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