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1730713785
DEDRA S JOHNSON
DECATUR, GA
NPI
1730713785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT003028)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
DEDRA S JOHNSON OT
920 CLAIREMONT AVE
DECATUR, GA 30030-1201
Phone number: 404-377-6111
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Mailing Address
DEDRA S JOHNSON OT
920 CLAIREMONT AVE
DECATUR, GA 30030-1201
Phone number: 404-377-6111
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