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Individual
SHANA C BONDO
Active
Individual
SHANA C BONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
060047
GA
208000000X
Pediatrics Physician
Primary
29875
SC
208000000X
Pediatrics Physician
ME101312
FL
Other
Enumeration date
10/14/2006
Last updated
09/19/2012
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