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1649470006
JULIE A JOHNSON
PORTAGE, IN
NPI
1649470006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002788A)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
JULIE A JOHNSON PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
JULIE A JOHNSON PTA
165 E OAK HILL RD
PORTER, IN 46304-1386
Phone number: 219-926-5973
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