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1609224989
AUTUMN BONNER
MADISON, WI
NPI
1609224989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: WI 13401-24)
Enumeration Date
2016-05-27
Last Update Date
2016-05-27
Business Address
-- AUTUMN BONNER DPT
305 S LIVINGSTON ST
MADISON, WI 53703-3513
Phone number: 608-250-1775
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Mailing Address
-- AUTUMN BONNER DPT
1326 1/2 VILAS AVE
MADISON, WI 53715-1552
Phone number:
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