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1174136980
SHANIA JOHNSON
GARY, IN
NPI
1174136980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
SHANIA JOHNSON
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
SHANIA JOHNSON
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number:
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