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1972826329
BONITA A OWENS
CLARKSVILLE, TN
NPI
1972826329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: TN TN1917)
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
-- BONITA A OWENS OTR/L
159 VALLEY CREST LN
CLARKSVILLE, TN 37043-2889
Phone number: 931-368-0052
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Mailing Address
-- BONITA A OWENS OTR/L
159 VALLEY CREST LN
CLARKSVILLE, TN 37043-2889
Phone number: 931-368-0052
Copy
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