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Individual
MICAH BONOLA
Active
Individual
MICAH BONOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13249
TX
111N00000X
Chiropractor
CHR.0007242
CO
Other
Enumeration date
11/04/2016
Last updated
12/12/2016
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