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Individual

BONNIE HARAGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
518 S CITRUS AVE, ESCONDIDO, CA 92027-4202
(760) 738-8958
Mailing address
518 S CITRUS AVE, ESCONDIDO, CA 92027-4202
(760) 715-2700

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN-150196
CA

Other

Enumeration date
01/12/2009
Last updated
01/12/2009
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