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1558407635
CAROL RENEE JOHNSON
RIDGELAND, MS
NPI
1558407635
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Other Name
CAROL RENEE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA1918)
Enumeration Date
2007-01-29
Last Update Date
2008-04-14
Business Address
Mrs. CAROL RENEE JOHNSON COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
Mrs. CAROL RENEE JOHNSON COTA
225 BRADFORD PL
RICHLAND, MS 39218-9690
Phone number: 601-665-4791
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