Individual
JULIE A BONKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
335 GLESSNER AVE, OHIOHEALTH AUDIOLOGY, MANSFIELD, OH 44903-2269
(419) 520-2064
(419) 520-2061
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2064
(419) 520-2061
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2652366
—
OH
Enumeration date
07/08/2006
Last updated
02/23/2017
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