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1114387032
DESIREA JOHNSON
SNELLVILLE, GA
NPI
1114387032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN069758)
Enumeration Date
2016-03-04
Last Update Date
2016-03-04
Business Address
-- DESIREA JOHNSON
4788 CHAFIN POINT CT
SNELLVILLE, GA 30039-3375
Phone number: 678-793-5245
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Mailing Address
-- DESIREA JOHNSON
4788 CHAFIN POINT CT
SNELLVILLE, GA 30039-3375
Phone number: 678-793-5245
Copy
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