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1245723576
DOUG JOHNSON
DETROIT, MI
NPI
1245723576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201003598)
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
DOUG JOHNSON
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-0725
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Mailing Address
DOUG JOHNSON
261 MACK AVE
DETROIT, MI 48201-2417
Phone number:
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