Individual
THOMAS DALE BONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4104 TENNYSON AVE, COLORADO SPRINGS, CO 80910-2536
(719) 660-4757
Mailing address
4104 TENNYSON AVE, COLORADO SPRINGS, CO 80910-2536
(719) 660-4757
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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