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1003633918
KACEY JOHNSON
JONESBORO, AR
NPI
1003633918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A2002)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
KACEY JOHNSON COTA/L
2911 LONGVIEW DR
JONESBORO, AR 72401-5911
Phone number: 870-336-0238
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Mailing Address
KACEY JOHNSON COTA/L
329 COUNTY ROAD 485
RECTOR, AR 72461-8709
Phone number: 870-783-0666
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