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1023752342
DEXTER JOHNSON
CONWAY, AR
NPI
1023752342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-22
Last Update Date
2022-04-22
Business Address
DEXTER JOHNSON
815 S DONAGHEY AVE
CONWAY, AR 72034-6880
Phone number: 501-574-3053
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Mailing Address
DEXTER JOHNSON
1601 HOGAN LN APT 1503
CONWAY, AR 72034-7858
Phone number: 870-592-4239
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