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1144794397
HEATHER RENE JOHNSON
GRAND RAPIDS, MI
NPI
1144794397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007133)
Enumeration Date
2019-01-21
Last Update Date
2019-01-21
Business Address
HEATHER RENE JOHNSON
111 LAKESIDE DR NE
GRAND RAPIDS, MI 49503-3811
Phone number: 616-588-1680
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Mailing Address
HEATHER RENE JOHNSON
7025 REFLECTION DR NE
COMSTOCK PARK, MI 49321-9639
Phone number: 231-250-3778
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