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Individual

MRS. PATRICIA (TRISH) BONIFAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
824 RICHMOND AVE, HASTINGS, NE 68901-3324
(402) 463-5611
Mailing address
824 RICHMOND AVE, HASTINGS, NE 68901-3324
(402) 463-5611

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
10/12/2016
Last updated
10/12/2016
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