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Individual

BONNIE J PARHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4110 AUSTIN ROAD, GUNPOWDER, MD 21010
(410) 436-3001
Mailing address
250 FOSTER KNOLL DR, JOPPA, MD 21085-4704
(410) 679-6647

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP36500
MD

Other

Enumeration date
12/21/2006
Last updated
07/08/2007
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