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1063653509
JOHNNY SENIOR
COLUMBUS, GA
NPI
1063653509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2009-03-12
Last Update Date
2009-03-12
Business Address
-- JOHNNY SENIOR
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5583
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Mailing Address
-- JOHNNY SENIOR
5763 LUNA DR
COLUMBUS, GA 31907-4245
Phone number: 706-568-1147
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