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1790297018
BONNY SPEARS
CANTON, GA
NPI
1790297018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA001819)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
BONNY SPEARS PTA
2000 VILLAGE PROFESSIONAL DR STE 300
CANTON, GA 30114-8499
Phone number: 678-880-9472
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Mailing Address
BONNY SPEARS PTA
320 JESSICA WAY
CANTON, GA 30114-5852
Phone number: 770-905-9077
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