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Bonneville Dme

NPI #1285869065 in Kearns, Utah

Provider Information

NPI Number
1285869065
Entity Type
Organization
Organization Name
Bonneville Dme
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 21, 2009
Last Updated
May 21, 2009

Practice Location

Address
4956 W 6200 S
Address 2
# 254
City
Kearns
State
Utah
ZIP Code
84118-6703
Phone
(801) 541-6137

Authorized Official

Name
MS. REBECCA VEA
Title
MANAGER
Phone
(801) 541-6137

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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