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1124306527
JACQUELYN JOY JOHNSON
SCOTTSBLUFF, NE
NPI
1124306527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 747)
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
JACQUELYN JOY JOHNSON COTA
111 W 36TH ST
SCOTTSBLUFF, NE 69361-4636
Phone number: 308-635-2019
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Mailing Address
JACQUELYN JOY JOHNSON COTA
2018 5TH AVE
SCOTTSBLUFF, NE 69361-2044
Phone number: 308-220-4573
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