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Individual

MICHAEL G BONEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 771-9400
Mailing address
7701 E EAST CT, COLUMBIA, MO 65201-7001
(816) 547-5321

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
P11730
MO
163W00000X
Registered Nurse
Primary
2010016740
MO

Other

Enumeration date
09/01/2017
Last updated
09/01/2017
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