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Individual
BONNIE LOU KILPELA
Active
Individual
BONNIE LOU KILPELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56010022221
MICHIGAN LICENSE #
MI
Enumeration date
12/05/2005
Last updated
09/29/2021
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