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1649721044
CHARLENE YVETTE JOHNSON
SHELBY, MT
NPI
1649721044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA3306)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- CHARLENE YVETTE JOHNSON COTA/L
743 HILL AVE APT#1
SHELBY, MT 59474-2717
Phone number: 949-292-2176
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Mailing Address
-- CHARLENE YVETTE JOHNSON COTA/L
743 HILL AVE APT#1
SHELBY, MT 59474-2717
Phone number: 949-292-2176
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