GRANT EDWARD JOHNSON

GIBSLAND, LA
NPI1225451370
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  41235361K)
Additional Taxonomies172A00000X Driver
(Licence: LA  008591754)
Enumeration Date2014-01-27
Last Update Date2014-01-27
Business Address
Mr. GRANT EDWARD JOHNSON
1221 HILLTOP ST
GIBSLAND, LA 71028
Phone number: 318-843-6090
Mailing Address
Mr. GRANT EDWARD JOHNSON
P O BOX 423 1221 HILLTOP ST
GIBSLAND, LA 71028
Phone number: 318-843-6090
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