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1881097103
CHARLES JOHNSON
SUWANEE, GA
NPI
1881097103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT006046)
Enumeration Date
2014-10-01
Last Update Date
2014-10-01
Business Address
-- CHARLES JOHNSON
3905 JOHNS CREEK CT SUITE 250
SUWANEE, GA 30024-1224
Phone number: 770-888-5221
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Mailing Address
-- CHARLES JOHNSON
3905 JOHNS CREEK CT SUITE 250
SUWANEE, GA 30024-1224
Phone number:
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