Individual
JULIE L BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3770
(603) 668-3545
Mailing address
57 LONGFELLOW DR, NEWBURYPORT, MA 01950-3328
(860) 941-5645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1411
NH
363A00000X
Physician Assistant
PA7244
MA
Other
Enumeration date
10/03/2018
Last updated
04/04/2024
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