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1578809943
SHABREVIA JOHNSON
PHOENIX, AZ
NPI
1578809943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ 5276)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
-- SHABREVIA JOHNSON COTA/L
10631 S 51ST ST SUITE 8
PHOENIX, AZ 85044-5225
Phone number: 480-398-4280
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Mailing Address
-- SHABREVIA JOHNSON COTA/L
PO BOX 50218
PHOENIX, AZ 85076-0218
Phone number:
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