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Individual

ALLISON LYNNE BONHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
709 W FONDI CT UNIT L106, SOUTH JORDAN, UT 84095-5890
(385) 329-7410
Mailing address
709 W FONDI CT UNIT L106, SOUTH JORDAN, UT 84095-5890
(385) 329-7410

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6691900-4405
UT

Other

Enumeration date
04/07/2025
Last updated
05/28/2025
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