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1194459099
LAQUITA CHARLE JOHNSON
BONAIRE, GA
NPI
1194459099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN249668)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
Mrs. LAQUITA CHARLE JOHNSON NP
101 SOUTHSHORE CT
BONAIRE, GA 31005-3575
Phone number: 229-712-8884
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Mailing Address
Mrs. LAQUITA CHARLE JOHNSON NP
101 SOUTHSHORE CT
BONAIRE, GA 31005-3575
Phone number: 229-712-8884
Copy
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