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1043978695
ORLISA JOHNSON
SHREVEPORT, LA
NPI
1043978695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2021-12-01
Last Update Date
2021-12-09
Business Address
ORLISA JOHNSON
2924 KNIGHT ST STE 426
SHREVEPORT, LA 71105-2414
Phone number: 318-754-3560
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Mailing Address
ORLISA JOHNSON
2924 KNIGHT ST STE 426
SHREVEPORT, LA 71105-2414
Phone number: 318-754-3560
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