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1760049191
KIMBERLY M JOHNSON
PHOENIX, AZ
NPI
1760049191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 7020)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
KIMBERLY M JOHNSON COTA/L
7080 N 19TH AVE
PHOENIX, AZ 85021-8585
Phone number: 602-601-2401
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Mailing Address
KIMBERLY M JOHNSON COTA/L
1555 S GILBERT RD STE 109
MESA, AZ 85204-6000
Phone number:
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