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1336570688
JESSICA JOHNSON
RUSSELLVILLE, AR
NPI
1336570688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR O-T1375)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
-- JESSICA JOHNSON COTA
306 E 11TH ST
RUSSELLVILLE, AR 72801-6156
Phone number: 479-968-1198
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Mailing Address
-- JESSICA JOHNSON COTA
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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