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1588769723
ROBERTA JEAN JOHNSON
MADISON, WI
NPI
1588769723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 2981-026)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
-- ROBERTA JEAN JOHNSON
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- ROBERTA JEAN JOHNSON
600 HIGHLAND AVE COMPLIANCE MAIL CODE-2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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