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1023721891
IDARA CHANTELLE JOHNSON
ATLANTA, GA
NPI
1023721891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-26
Last Update Date
2022-12-26
Business Address
IDARA CHANTELLE JOHNSON
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-752-1500
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Mailing Address
IDARA CHANTELLE JOHNSON
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-752-1500
Copy
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