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1841668290
MYISHA JOHNSON
SUMMIT, MS
NPI
1841668290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS 2948)
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
MYISHA JOHNSON
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
MYISHA JOHNSON
PO BOX 579
SUMMIT, MS 39666-0579
Phone number: 601-276-3900
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