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1144570227
BONNIE GAYLE WIENINGER
SEVERNA PARK, MD
NPI
1144570227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A3572)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- BONNIE GAYLE WIENINGER
816 COTTONWOOD DR
SEVERNA PARK, MD 21146-2814
Phone number: 410-647-3331
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Mailing Address
-- BONNIE GAYLE WIENINGER
816 COTTONWOOD DR
SEVERNA PARK, MD 21146-2814
Phone number: 410-647-3331
Copy
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