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1144673963
LAKEISHIA JOHNSON
SHREVEPORT, LA
NPI
1144673963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2016-07-16
Last Update Date
2017-04-24
Business Address
-- LAKEISHIA JOHNSON
5342 BROADWAY AVE
SHREVEPORT, LA 71109
Phone number: 318-946-2487
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Mailing Address
-- LAKEISHIA JOHNSON
5342 BROADWAY AVE
SHREVEPORT, LA 71109-7210
Phone number: 318-946-2487
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