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1821614249
JADA NICOLE LESLIE JOHNSON
SHELBY, NC
NPI
1821614249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 13273)
Enumeration Date
2020-06-22
Last Update Date
2024-03-14
Business Address
JADA NICOLE LESLIE JOHNSON OTR/L
1607 E DIXON BLVD
SHELBY, NC 28152-6976
Phone number: 704-473-1675
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Mailing Address
JADA NICOLE LESLIE JOHNSON OTR/L
3052 WINESAP DR
DALLAS, NC 28034-9634
Phone number: 704-476-9925
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