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1528613270
MI-CHELE' JOHNSON
CHARLOTTE, NC
NPI
1528613270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A7020)
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
MI-CHELE' JOHNSON PTA
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-7760
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Mailing Address
MI-CHELE' JOHNSON PTA
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-7760
Copy
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