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1801980032
JACQUELINE M JOHNSON
SPENCERPORT, NY
NPI
1801980032
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Former Name
JACQUELINE M JORGENSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 63 013501)
Enumeration Date
2006-10-03
Last Update Date
2011-06-22
Business Address
Mrs. JACQUELINE M JOHNSON OTR/L
71 LYELL AVE
SPENCERPORT, NY 14559-1825
Phone number: 585-349-5140
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Mailing Address
Mrs. JACQUELINE M JOHNSON OTR/L
71 LYELL AVE
SPENCERPORT, NY 14559-1825
Phone number: 585-349-5140
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