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1356718076
ISSAC JOHNSON
FORT BELVOIR, VA
NPI
1356718076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119006655)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
ISSAC JOHNSON
9160 BELVOIR WOODS PKWY
FORT BELVOIR, VA 22060-2703
Phone number: 703-781-2447
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Mailing Address
ISSAC JOHNSON
1517 FULLER LN
VIRGINIA BEACH, VA 23455-4211
Phone number: 757-270-2658
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