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Individual

JANET J BONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8140
(701) 364-8157
Mailing address
4321 RIVERWOOD DR N, FARGO, ND 58102-5324

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
115204-1
MN
183500000X
Pharmacist
Primary
4858
ND
183500000X
Pharmacist
R4969
SD

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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