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1164088522
WARREN ELLIOT JOHNSON
LAKE CHARLES, LA
NPI
1164088522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-11
Last Update Date
2019-05-11
Business Address
WARREN ELLIOT JOHNSON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
WARREN ELLIOT JOHNSON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
Copy
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