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1023608049
SHELLISE JOHNSON
BALTIMORE, MD
NPI
1023608049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: MD 30AL3875)
Enumeration Date
2021-01-23
Last Update Date
2021-01-23
Business Address
SHELLISE JOHNSON
1703 E 29TH ST
BALTIMORE, MD 21218-3745
Phone number: 443-869-6882
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Mailing Address
SHELLISE JOHNSON
703 MACDILL RD
MIDDLE RIVER, MD 21220-3794
Phone number: 443-310-8579
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