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1376067322
MARY ALICE MCBURNEY BONSELAAR
LAWRENCEVILLE, GA
NPI
1376067322
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Former Name
MARY ALICE WALKER MCBURNEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013017)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
MARY ALICE MCBURNEY BONSELAAR PT, DPT
545 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 30046-3390
Phone number: 678-377-2833
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Mailing Address
MARY ALICE MCBURNEY BONSELAAR PT, DPT
302 PERIMETER CTR N APT 2154
ATLANTA, GA 30346-2493
Phone number: 404-625-2189
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