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Individual

BONNIE JEAN MCMILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60410 CAMPGROUND RD APT 3, WASHINGTON, MI 48094-3431
(248) 320-5971
Mailing address
60410 CAMPGROUND RD APT 3, WASHINGTON, MI 48094-3431

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007150
MI

Other

Enumeration date
08/30/2019
Last updated
08/30/2019
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