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1265772974
JENNIFER CLARK JOHNSON
BEND, OR
NPI
1265772974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: OR 1002972)
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
-- JENNIFER CLARK JOHNSON OTR/L
408 NE HAWTHORNE AVE
BEND, OR 97701-4729
Phone number: 541-604-0548
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Mailing Address
-- JENNIFER CLARK JOHNSON OTR/L
855 NW HALEAKALA WAY
BEND, OR 97701-6726
Phone number: 541-604-0548
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