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1407061401
LISA JOHNSON
FARMINGTON HILLS, MI
NPI
1407061401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: MI 5201003959)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- LISA JOHNSON
25465 KILREIGH DR
FARMINGTON HILLS, MI 48336-1548
Phone number: 248-471-2297
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Mailing Address
-- LISA JOHNSON
25465 KILREIGH DR
FARMINGTON HILLS, MI 48336-1548
Phone number: 248-471-2297
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