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1174982060
HEIDI JOHNSON
MESA, AZ
NPI
1174982060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 6215)
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- HEIDI JOHNSON
2418 E FAIRFIELD ST
MESA, AZ 85213-5303
Phone number: 602-319-7324
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Mailing Address
-- HEIDI JOHNSON
2418 E. FAIRFIELD
MESA, AZ 85213
Phone number:
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