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1922422005
LATASHA JOHNSON
GRAND RAPIDS, MI
NPI
1922422005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
-- LATASHA JOHNSON
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
-- LATASHA JOHNSON
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number:
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