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1174917876
CHARLES JOHNSON
WEST MEMPHIS, AR
NPI
1174917876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
-- CHARLES JOHNSON MHPP
304 N 6TH ST
WEST MEMPHIS, AR 72301-3221
Phone number: 870-702-7657
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Mailing Address
-- CHARLES JOHNSON MHPP
703 CALVIN AVERY DR SUITE A
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878
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