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1598220717
PKANITA BONNER MARION
LITHONIA, GA
NPI
1598220717
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Former Name
PKANITA BONNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F01191266)
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
PKANITA BONNER MARION NP
8425 MALL PARKWAY
LITHONIA, GA 30038
Phone number: 678-526-1014
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Mailing Address
PKANITA BONNER MARION NP
PO BOX 1395
LITHONIA, GA 30058-1395
Phone number: 205-767-9992
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