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1154623973
AILEEN JOHANSON
MURRAY, UT
NPI
1154623973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 2855644201)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
-- AILEEN JOHANSON MHS;OTR/L
5121 COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7572
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Mailing Address
-- AILEEN JOHANSON MHS;OTR/L
13021 S 3040 W
RIVERTON, UT 84065-6898
Phone number: 801-253-4543
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