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1750980637
BONNITA INEZ GROSSNICKLE
SAN ANTONIO, TX
NPI
1750980637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215837)
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
BONNITA INEZ GROSSNICKLE OTA
13333 BLANCO RD STE 310
SAN ANTONIO, TX 78216-7756
Phone number: 210-479-5875
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Mailing Address
BONNITA INEZ GROSSNICKLE OTA
13333 BLANCO RD STE 310
SAN ANTONIO, TX 78216-7756
Phone number: 210-479-5875
Copy
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