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1750581757
BONNIE LOU JOHNSON
PORTLAND, OR
NPI
1750581757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 1020842)
Enumeration Date
2007-07-19
Last Update Date
2007-07-19
Business Address
Ms. BONNIE LOU JOHNSON COTA
11325 NE WEIDLER
PORTLAND, OR 97220-2211
Phone number: 503-251-3776
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Mailing Address
Ms. BONNIE LOU JOHNSON COTA
1025 NE 113TH AVE
PORTLAND, OR 97220-2211
Phone number:
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