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1083944946
LISA MARIE JOHNSON
FORT MILL, SC
NPI
1083944946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: SC LMW-0043)
Enumeration Date
2009-12-28
Last Update Date
2024-05-15
Business Address
LISA MARIE JOHNSON LM
3113 HIGHGATE DR
FORT MILL, SC 29715-7304
Phone number: 704-900-9849
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Mailing Address
LISA MARIE JOHNSON LM
2764 PLEASANT RD # 10748
FORT MILL, SC 29708-7213
Phone number: 704-900-9849
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