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1326422379
BONNIE MARIE BLACK
LYNCHBURG, VA
NPI
1326422379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306601592)
Enumeration Date
2015-07-18
Last Update Date
2015-07-18
Business Address
-- BONNIE MARIE BLACK
201 LILLIAN LANE
LYNCHBURG, VA 24502-4379
Phone number: 434-316-0254
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Mailing Address
-- BONNIE MARIE BLACK
201 LILLIAN LANE
LYNCHBURG, VA 24502-4379
Phone number: 434-316-0254
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