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1174031884
CLAUDETTE ELIZABETH JOHNSON
MARICOPA, AZ
NPI
1174031884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 8723402)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
CLAUDETTE ELIZABETH JOHNSON
21181 N GRANTHAM RD
MARICOPA, AZ 85138-6655
Phone number: 719-464-9552
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Mailing Address
CLAUDETTE ELIZABETH JOHNSON
21181 N GRANTHAM RD
MARICOPA, AZ 85138-6655
Phone number: 719-464-9552
Copy
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