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Individual

JEAN WEBB BONNYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
119 GREENBRIER DR, KNOXVILLE, TN 37919-4114
(865) 382-0851
Mailing address
119 GREENBRIER DR, KNOXVILLE, TN 37919-4114
(865) 382-0851

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-122776
DC

Other

Enumeration date
01/26/2019
Last updated
01/26/2019
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