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1588284335
EDWARD BONNER
TAMPA, FL
NPI
1588284335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA24826)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
EDWARD BONNER
518 W FLETCHER AVE
TAMPA, FL 33612-3419
Phone number: 813-265-1600
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Mailing Address
EDWARD BONNER
3713 HILEMAN DR N
LAKELAND, FL 33810-2690
Phone number:
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