Tina Ovigue Bonkat L.P.N

NPI 1013217983 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1013217983
Gender Female
Enumeration Date 10/26/2010
Last Updated 10/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6711 14TH AVENUE SOUTH
RICHFIELD MN, 55432, US
Phone (952) 688-2345
Fax
Business Location
1108 VILLAGE ROAD
APT 16D
CHASKA MN, 55318, US
Phone (952) 688-2345
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Minnesota
License Number L64317-9
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According to our database, Mrs. Tina Ovigue Bonkat L.P.N NPI is 1013217983, taxonomy code is 164W00000X and license number is L64317-9, license state is located at Minnesota. Tina Ovigue Bonkat L.P.N physically located at 6711 14th Avenue South, Richfield MN, 55432. NPI Number Tina Ovigue Bonkat L.P.N has the Individual type.

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1013217983 NPI number is provided on an as is basis without warranty of any kind. 1013217983 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Ovigue Bonkat L.P.N are for informational purposes only.