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1235742917
AMANDA MARIE JOHNSON
CHICAGO, IL
NPI
1235742917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.005907)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Mrs. AMANDA MARIE JOHNSON RD
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-4133
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Mailing Address
Mrs. AMANDA MARIE JOHNSON RD
520 N OAKLEY BLVD APT 3S
CHICAGO, IL 60612-1427
Phone number: 708-560-6265
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