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Individual

MS. SARA JEAN JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
820 N ORLEANS ST, STE 345, CHICAGO, IL 60610-3170
(312) 467-0678
Mailing address
820 N ORLEANS ST, STE 345, CHICAGO, IL 60610-3170
(312) 467-0678

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000537
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227.000537
LMT
IL
Enumeration date
11/05/2015
Last updated
11/05/2015
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