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1114570165
SHANNA RAE JOHNSON
LAFAYETTE, LA
NPI
1114570165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 207289)
Enumeration Date
2019-07-18
Last Update Date
2019-08-13
Business Address
SHANNA RAE JOHNSON
129 RUE LOUIS XIV
LAFAYETTE, LA 70508-5738
Phone number: 337-289-9700
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Mailing Address
SHANNA RAE JOHNSON
129 RUE LOUIS XIV
LAFAYETTE, LA 70508-5738
Phone number: 337-289-9700
Copy
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