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1740947126
MARY JOHNSON
GILBERT, AZ
NPI
1740947126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ 6486859)
Enumeration Date
2021-11-20
Last Update Date
2021-11-20
Business Address
MARY JOHNSON MS CCC-SP
1290 E OCOTILLO RD
GILBERT, AZ 85298-9222
Phone number: 218-205-1814
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Mailing Address
MARY JOHNSON MS CCC-SP
1525 W FRYE RD
CHANDLER, AZ 85224-6112
Phone number: 480-812-7095
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