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1013759562
IKETA JOHNSON
LAWRENCEVILLE, GA
NPI
1013759562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
IKETA JOHNSON
1130 HURRICANE SHOALS RD NE STE 1800
LAWRENCEVILLE, GA 30043-4849
Phone number: 470-740-0355
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Mailing Address
IKETA JOHNSON
1228 CEDAR CREEK CT NW
CONYERS, GA 30012-3518
Phone number: 678-337-2496
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