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1497200216
ELIZABETH BLAINE BONORDEN
VINTON, IA
NPI
1497200216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IA 084197)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- ELIZABETH BLAINE BONORDEN OTR/L
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6200
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Mailing Address
-- ELIZABETH BLAINE BONORDEN OTR/L
2909 BEVER AVE SE
CEDAR RAPIDS, IA 52403-3026
Phone number: 361-523-9566
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