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1043476179
BONNIE HEAVENER
NEWARK, OH
NPI
1043476179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 00954)
Enumeration Date
2008-07-29
Last Update Date
2008-07-29
Business Address
Mrs. BONNIE HEAVENER COTA/L
75 MCMILLEN DR
NEWARK, OH 43055-1808
Phone number: 740-344-0357
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Mailing Address
Mrs. BONNIE HEAVENER COTA/L
75 MCMILLEN DR
NEWARK, OH 43055-1808
Phone number: 740-344-0357
Copy
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