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1104235118
KATELYN JOHNSON
GRAND RAPIDS, MI
NPI
1104235118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101003103)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- KATELYN JOHNSON
4065 SALADIN DR SE
GRAND RAPIDS, MI 49546-6249
Phone number: 616-942-2081
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Mailing Address
-- KATELYN JOHNSON
2370 GATETREE LN SE
GRAND RAPIDS, MI 49546-7590
Phone number: 616-826-1245
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