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1710079660
BONNIE JEAN FAMOLARI
WAXHAW, NC
NPI
1710079660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 3282)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
BONNIE JEAN FAMOLARI OTR/L
1707 CRESTGATE DR
WAXHAW, NC 28173-6730
Phone number: 704-843-7751
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Mailing Address
BONNIE JEAN FAMOLARI OTR/L
1707 CRESTGATE DR
WAXHAW, NC 28173-6730
Phone number: 704-843-7751
Copy
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