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1265011506
BRIDGETT MARLENE JOHNSON
CONWAY, SC
NPI
1265011506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
Ms. BRIDGETT MARLENE JOHNSON
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-234-8119
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Mailing Address
Ms. BRIDGETT MARLENE JOHNSON
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 313-598-8264
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