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1073614061
BONNIE DIANE MAYBIN
ANDERSON, SC
NPI
1073614061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 221)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Ms. BONNIE DIANE MAYBIN COTA/L
1501 E GREENVILLE ST
ANDERSON, SC 29621-2004
Phone number: 864-226-8356
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Mailing Address
Ms. BONNIE DIANE MAYBIN COTA/L
3792 HIGHWAY 29 S
ANDERSON, SC 29626-6719
Phone number: 864-964-0074
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