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1194001347
CORA THOMAS JOHNSON
HAMPTON, VA
NPI
1194001347
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Former Name
CORA LAVETTE WARDRETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
Mrs. CORA THOMAS JOHNSON
703 NEWPORT NEWS AVE
HAMPTON, VA 23669-3932
Phone number: 757-256-4902
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Mailing Address
Mrs. CORA THOMAS JOHNSON
703 NEWPORT NEWS AVE
HAMPTON, VA 23669-3932
Phone number: 757-256-4902
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