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1225806722
SOPHIA LOREN JOHNSON
O FALLON, MO
NPI
1225806722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2023047998)
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
SOPHIA LOREN JOHNSON DPT, PT
1101 HIGHWAY K
O FALLON, MO 63366-8431
Phone number: 636-379-6363
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Mailing Address
SOPHIA LOREN JOHNSON DPT, PT
504 BROOKSIDE FOREST CT
O FALLON, MO 63366-5091
Phone number: 636-345-7828
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