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1275079089
MICHELE JEAN JOHNSON
BLOOMINGTON, IL
NPI
1275079089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.007653)
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
-- MICHELE JEAN JOHNSON MA, CCC-SLP
3211 CLAIRBRIDGE DR
BLOOMINGTON, IL 61704-9474
Phone number: 309-655-2381
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Mailing Address
-- MICHELE JEAN JOHNSON MA, CCC-SLP
3211 CLAIRBRIDGE DR
BLOOMINGTON, IL 61704-9474
Phone number:
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