JUSTIN DEWAYNE JOHNSON

LITTLE ROCK, AR
NPI1013251529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
Mr. JUSTIN DEWAYNE JOHNSON
7107 W 12TH ST SUITE 201
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
Mailing Address
Mr. JUSTIN DEWAYNE JOHNSON
7107 W 12TH ST SUITE 201
LITTLE ROCK, AR 72204-2404
Phone number: 501-663-1837
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