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1295237279
SHELLY LYNN JOHNSON
DETROIT, MI
NPI
1295237279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008095)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
SHELLY LYNN JOHNSON
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1128
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Mailing Address
SHELLY LYNN JOHNSON
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1128
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