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Individual

LINDA M BONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1312 TICHENOR ST, PORT ORFORD, OR 97465-8776
(541) 640-7625
Mailing address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1529912
FL
363LF0000X
Family Nurse Practitioner
2401-033
WI
363LP2300X
Primary Care Nurse Practitioner
15622
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
201708457NP-PP
OR

Other

Enumeration date
05/04/2007
Last updated
12/01/2021
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