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Individual

MRS. BONITA L DELOACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
24 ANTRIM COMMONS DR, GREENCASTLE, PA 17225-1623
(717) 597-5553
(717) 597-5522
Mailing address
17664 POTTER BELL WAY, HAGERSTOWN, MD 21740-6396
(410) 903-8000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R164385
MD
363LF0000X
Family Nurse Practitioner
Primary
SP027632
PA

Other

Enumeration date
03/22/2018
Last updated
08/12/2025
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