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1255081931
CLARA JOHNSON
SHREVEPORT, LA
NPI
1255081931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: LA 2203782259)
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
CLARA JOHNSON
2620 CENTENARY BLVD STE 142
SHREVEPORT, LA 71104-3349
Phone number: 318-424-5070
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Mailing Address
CLARA JOHNSON
2620 CENTENARY BLVD STE 142
SHREVEPORT, LA 71104-3349
Phone number: 318-424-5070
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