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1295003200
BRANDON K JOHNSON
THE DALLES, OR
NPI
1295003200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 287107)
Enumeration Date
2011-12-05
Last Update Date
2016-04-29
Business Address
Mr. BRANDON K JOHNSON OTR/L
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-296-7202
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Mailing Address
Mr. BRANDON K JOHNSON OTR/L
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-296-7202
Copy
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