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1245901636
SHE-RA LATOYA JOHNSON
MILWAUKEE, WI
NPI
1245901636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: WI j5257928790608)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
SHE-RA LATOYA JOHNSON
4329 N 91ST ST
MILWAUKEE, WI 53222-1611
Phone number: 414-303-1269
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Mailing Address
SHE-RA LATOYA JOHNSON
4329 N 91ST ST
MILWAUKEE, WI 53222-1611
Phone number: 414-303-1269
Copy
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