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Individual

ALEC MICHAEL BONAGUIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
28266 N 67TH DR, PEORIA, AZ 85383-6611

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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Product
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