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Individual

MS. SASHA J BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1886 UPPER MAPLE ST, DAYVILLE, CT 06241-1555
(860) 412-1198
Mailing address
1886 UPPER MAPLE ST, DAYVILLE, CT 06241-1555

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001223
CT
2255A2300X
Athletic Trainer
25MT00204900
NJ

Other

Enumeration date
03/14/2017
Last updated
05/11/2019
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