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Next Update: Friday, September 27, 2024 2:50 AM CDT

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BONACQUISTI, GARY ANDREW       
Practice Address: 3232 BROADWAY
SUITE C
GARLAND TX 75043-1599
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18050
Dated: 7/1/1992
Expires: 7/1/1998
Training Issued: 6/6/1991
Training Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNLISTED NEW JERSEY MEDICAL SCHOOLS
Graduated: 5 / 1991
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3232 BROADWAY
SUITE C
GARLAND TX 75043-1599

Phone #:
Fax #:

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