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1184334161
STEPHEN BENJAMIN JOHNSON
HUNTINGTON, WV
NPI
1184334161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-11-30
Last Update Date
2022-11-30
Business Address
STEPHEN BENJAMIN JOHNSON
4614 WAVERLY RD
HUNTINGTON, WV 25704-1039
Phone number: 304-429-3287
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Mailing Address
STEPHEN BENJAMIN JOHNSON
4614 WAVERLY RD
HUNTINGTON, WV 25704-1039
Phone number: 304-429-3287
Copy
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