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1851415079
JESSICA FORTUNE JOHNSON
PAWLEYS ISLAND, SC
NPI
1851415079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 3102)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mrs. JESSICA FORTUNE JOHNSON OTRL
38 LAKES AT LITCHFIELD DR
PAWLEYS ISLAND, SC 29585-5768
Phone number: 843-237-0343
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Mailing Address
Mrs. JESSICA FORTUNE JOHNSON OTRL
9042 GATEWICK CT
MYRTLE BEACH, SC 29579-4172
Phone number: 321-615-2533
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