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1831490267
TRACI LYNN JOHNSON
RIDGELAND, MS
NPI
1831490267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA 1602)
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
-- TRACI LYNN JOHNSON COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- TRACI LYNN JOHNSON COTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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