JACQUELYN JOY JOHNSON

SCOTTSBLUFF, NE
NPI1124306527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  747)
Enumeration Date2011-08-02
Last Update Date2011-08-02
Business Address
-- JACQUELYN JOY JOHNSON COTA
111 W 36TH ST
SCOTTSBLUFF, NE 69361-4636
Phone number: 308-635-2019
Mailing Address
-- JACQUELYN JOY JOHNSON COTA
2018 5TH AVE
SCOTTSBLUFF, NE 69361-2044
Phone number: 308-220-4573
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