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1740491190
DANETTE E JOHNSON
CHICAGO, IL
NPI
1740491190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056006452)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Ms. DANETTE E JOHNSON OTR
5758 S MARYLAND AVE # 4A
CHICAGO, IL 60637-1426
Phone number: 773-702-1687
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Mailing Address
Ms. DANETTE E JOHNSON OTR
3961 E STATE ROUTE 17
KANKAKEE, IL 60901-8129
Phone number: 773-988-2816
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