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1225435779
MICHAEL SCOT JOHNSON
ANTIOCH, CA
NPI
1225435779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5089-27)
Enumeration Date
2014-11-28
Last Update Date
2014-11-28
Business Address
-- MICHAEL SCOT JOHNSON
1210 A ST
ANTIOCH, CA 94509-2327
Phone number: 920-740-7920
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Mailing Address
-- MICHAEL SCOT JOHNSON
7200 JACINTO AVE UNIT 15202
SACRAMENTO, CA 95823-7555
Phone number: 920-740-7920
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