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1285958702
KATISHA JOHNSON
BURNHAM, IL
NPI
1285958702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2010-03-26
Last Update Date
2010-03-26
Business Address
Mrs. KATISHA JOHNSON
14526 S HOXIE AVE
BURNHAM, IL 60633-2214
Phone number: 773-443-3492
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Mailing Address
Mrs. KATISHA JOHNSON
14526 S HOXIE AVE
BURNHAM, IL 60633-2214
Phone number: 773-443-3492
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