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Individual

MR. JOHN E BUONORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4933
(253) 968-0554
(253) 986-3278
Mailing address
10901 102ND AVE SW, LAKEWOOD, WA 98498-2909
(240) 429-8870

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
133435-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60879305
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141668
WA
05
43388700
WI
Enumeration date
06/09/2005
Last updated
01/08/2022
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