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1346881976
NORMAN BOSTIC
MILLEDGEVILLE, GA
NPI
1346881976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: GA 58969)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
NORMAN BOSTIC CTRS
400 W FRANKLIN ST
MILLEDGEVILLE, GA 31061-3251
Phone number: 478-258-3882
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Mailing Address
NORMAN BOSTIC CTRS
2404 RIVER RIDGE RD NE
MILLEDGEVILLE, GA 31061-8702
Phone number: 478-258-3882
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