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1528768926
JOANNA RENEE JOHNSON
CREEDE, CO
NPI
1528768926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: CO 0006035)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
Mrs. JOANNA RENEE JOHNSON MT
152 KLONDIKE ROAD
CREEDE, CO 81130-0033
Phone number: 719-480-2845
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Mailing Address
Mrs. JOANNA RENEE JOHNSON MT
PO BOX 33
CREEDE, CO 81130-0033
Phone number: 719-480-2845
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