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1144970096
LISA DIANE JOHNSON
SHREVEPORT, LA
NPI
1144970096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
LISA DIANE JOHNSON
1812 JEWELLA AVE APT 3203
SHREVEPORT, LA 71109-2033
Phone number: 318-759-9405
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Mailing Address
LISA DIANE JOHNSON
1812 JEWELLA AVE APT 3203
SHREVEPORT, LA 71109-2033
Phone number:
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