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1629219613
LORITA ELAINE JOHNSON
GRESHAM, OR
NPI
1629219613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: OR 6181)
Enumeration Date
2009-03-20
Last Update Date
2009-03-20
Business Address
-- LORITA ELAINE JOHNSON LMT
24850 SE STARK ST STE 200
GRESHAM, OR 97030-8320
Phone number: 971-285-2905
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Mailing Address
-- LORITA ELAINE JOHNSON LMT
PO BOX 1615
SANDY, OR 97055-1615
Phone number: 971-285-2905
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