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1902466055
STEPHANIE AULL JOHNSON
COLUMBIA, SC
NPI
1902466055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3785)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
STEPHANIE AULL JOHNSON COTA
4611 HARD SCRABBLE RD STE 312
COLUMBIA, SC 29229-8584
Phone number: 479-200-5283
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Mailing Address
STEPHANIE AULL JOHNSON COTA
2704 COUNTS RD
PROSPERITY, SC 29127-7300
Phone number: 479-200-5283
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