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1003408121
JOSIE LYN JOHNSON
FORT WAYNE, IN
NPI
1003408121
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Former Name
JOSIE LYN ECKERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
JOSIE LYN JOHNSON SLP
5250 HERITAGE PKWY
FORT WAYNE, IN 46835-1061
Phone number: 260-209-6279
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Mailing Address
JOSIE LYN JOHNSON SLP
3003 GRANDVIEW DR
FORT WAYNE, IN 46804-2821
Phone number: 260-224-7032
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