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1245534080
JOHANNA M OVERHAUSER
SPOKANE, WA
NPI
1245534080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: WA OT60067320)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
-- JOHANNA M OVERHAUSER MOTR/L
17 E 8TH AVE
SPOKANE, WA 99202-1201
Phone number: 509-474-7941
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Mailing Address
-- JOHANNA M OVERHAUSER MOTR/L
16271 N TAMARAC LN
NINE MILE FALLS, WA 99026
Phone number: 509-995-3762
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