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Individual
MRS. HOLLAN BETH BONJUKIAN
Active
Individual
MRS. HOLLAN BETH BONJUKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, CNC, BA
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174400000X
Specialist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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