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1194541912
KATWANA JOHNSON
AUGUSTA, GA
NPI
1194541912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
KATWANA JOHNSON
2083 ELLIS ST
AUGUSTA, GA 30904-3521
Phone number: 706-504-5263
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Mailing Address
KATWANA JOHNSON
2083 ELLIS ST
AUGUSTA, GA 30904-3521
Phone number: 706-504-5263
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