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1366640518
TARA TERINA BONILLA
RICHMOND, KY
NPI
1366640518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY r3546)
Enumeration Date
2007-07-10
Last Update Date
2017-03-09
Business Address
Mrs. TARA TERINA BONILLA otr/l
1740 FOREST LN
RICHMOND, KY 40475-3638
Phone number: 859-779-3529
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Mailing Address
Mrs. TARA TERINA BONILLA otr/l
1740 FOREST LN
RICHMOND, KY 40475-3638
Phone number: 859-779-3529
Copy
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