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1710011077
AMANDA J JOHNSON
PEORIA, IL
NPI
1710011077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146-008776)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- AMANDA J JOHNSON Speech Therapist
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
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Mailing Address
-- AMANDA J JOHNSON Speech Therapist
8 ROSEWOOD CT
BLOOMINGTON, IL 61704-4834
Phone number: 309-738-4906
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