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1114649209
SHUNDRAKIA L JOHNSON
LAFAYETTE, LA
NPI
1114649209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: LA 256988)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
SHUNDRAKIA L JOHNSON
3603 W CONGRESS ST APT 101A
LAFAYETTE, LA 70506-5201
Phone number: 337-303-3699
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Mailing Address
SHUNDRAKIA L JOHNSON
PO BOX 61698
LAFAYETTE, LA 70596-1698
Phone number: 337-442-8878
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