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1528665304
MARA DANIELLE BONAWITZ
TWIN FALLS, ID
NPI
1528665304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-6225)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
MARA DANIELLE BONAWITZ PTA
420 PHEASANT RD
TWIN FALLS, ID 83301-8728
Phone number: 208-421-2884
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Mailing Address
MARA DANIELLE BONAWITZ PTA
420 PHEASANT RD
TWIN FALLS, ID 83301-8728
Phone number: 208-421-2884
Copy
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