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Individual

DR. BONNIE LYNN WICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
4323 E BROADWAY RD, STE 109, MESA, AZ 85206-3506
(480) 832-3014
(480) 832-5216
Mailing address
18816 N 52ND AVE, GLENDALE, AZ 85308-4900
(623) 581-8939
(480) 832-5216

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
06-946
AZ

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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