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1669788097
BONNIE LEE JOHNSON
MILWAUKEE, WI
NPI
1669788097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001091)
Enumeration Date
2010-08-23
Last Update Date
2014-08-14
Business Address
-- BONNIE LEE JOHNSON PTA
7235 W APPLETON AVE
MILWAUKEE, WI 53216-1932
Phone number: 414-815-6700
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Mailing Address
-- BONNIE LEE JOHNSON PTA
PO BOX 639
THIENSVILLE, WI 53092-0639
Phone number: 414-247-9005
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