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1043748858
ASHLEE NICOLE JOHNSON
RUSSELLVILLE, AR
NPI
1043748858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2017-05-24
Last Update Date
2017-05-24
Business Address
ASHLEE NICOLE JOHNSON COTA
301 N SIDNEY AVE
RUSSELLVILLE, AR 72801-4383
Phone number: 479-890-5494
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Mailing Address
ASHLEE NICOLE JOHNSON COTA
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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