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1467688606
ANITA DESIREE JOHNSON
RENTON, WA
NPI
1467688606
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Former Name
ANITA DESIREE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL0004553)
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
-- ANITA DESIREE JOHNSON SLP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-656-5516
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Mailing Address
-- ANITA DESIREE JOHNSON SLP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-656-5516
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