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1528294592
MYRA BOERNER
ACWORTH, GA
NPI
1528294592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 000310)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
MYRA BOERNER OTR
1618 CLARK LAKE DR NW
ACWORTH, GA 30102-7906
Phone number: 770-794-8526
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Mailing Address
MYRA BOERNER OTR
1618 CLARK LAKE DR NW
ACWORTH, GA 30102-7906
Phone number: 770-794-8526
Copy
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