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Individual

ANA LAURA BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3630 N SHILOH RD, GARLAND, TX 75044-6630
(787) 457-6485
Mailing address
3630 N SHILOH RD, GARLAND, TX 75044-6630
(787) 457-6485

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12913
TX

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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