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Individual

MS. REGINA SUE BONNELL

Active
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Individual

MS. REGINA SUE BONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227013896
LICENSED MASSAGE THERAPIST
IL
01
—
610557-11
NATIONAL CERTIFIED IN THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
07/10/2013
Last updated
07/10/2013
About Stedi
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