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1063935807
AMANDA NICOLE JOHNSON
LOUISVILLE, OH
NPI
1063935807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: OH 401158021010)
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
AMANDA NICOLE JOHNSON STNA
5831 RAVENNA AVE
LOUISVILLE, OH 44641-9216
Phone number: 330-581-5099
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Mailing Address
AMANDA NICOLE JOHNSON STNA
116 EUCLID AVE
MINERVA, OH 44657-1519
Phone number: 330-904-8124
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