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BONITA ONEIL

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1790360238

Individual Registrant:
 BONITA  ONEIL 
Gender: F
Sole Proprietor

Location and contact information for practice:
9537 MIDDLE GRAVE CREEK RD  GLEN EASTON, WV 26039-1486 US
Tel: 304-845-1850  Fax: --

Contact information for business:
9537 MIDDLE GRAVE CREEK RD  GLEN EASTON, WV 26039-1486 US
Tel: --  Fax: --

Registration Information:
NPI: 1790360238
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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