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Individual

MISS CYNTHIA RENEE BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
1855 MECHANICSBURG RD APT E3, WOOSTER, OH 44691-2673
(330) 412-3907
Mailing address
1855 MECHANICSBURG RD APT E3, WOOSTER, OH 44691-2673
(330) 412-3907

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
134081
OH
164W00000X
Licensed Practical Nurse
Primary
134081-IV
OH

Other

Enumeration date
01/07/2010
Last updated
01/07/2010
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