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Individual

MS. SHAWNA MARIE BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
645 N ELM ST, CHANDLER, AZ 85226-2736
(602) 277-5551
Mailing address
645 N ELM ST, CHANDLER, AZ 85226-2736

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN128736
AZ

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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