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1588868210
SARA REBECCA JOHNSON
CASPER, WY
NPI
1588868210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY 653)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
-- SARA REBECCA JOHNSON COTA-L
2521 E 15TH ST
CASPER, WY 82609-4126
Phone number: 307-237-7444
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Mailing Address
-- SARA REBECCA JOHNSON COTA-L
4690 TRAILS END
BAR NUNN, WY 82601-9424
Phone number: 307-251-4073
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