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Individual

BONNIE TAYLOR PRAUGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
66 BOVET RD STE 105, SAN MATEO, CA 94402-3126
(650) 288-0826
Mailing address
395 TROON WAY, HALF MOON BAY, CA 94019-2601
(870) 844-0725

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
222020
AR

Other

Enumeration date
01/31/2023
Last updated
01/31/2023
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