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1275204745
KAILEY ROBERSON JOHNSON
SHREVEPORT, LA
NPI
1275204745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 328816)
Enumeration Date
2021-09-24
Last Update Date
2024-11-21
Business Address
KAILEY ROBERSON JOHNSON PA-C
2508 BERT KOUNS INDUSTRIAL LOOP STE 310
SHREVEPORT, LA 71118-3154
Phone number: 318-212-5880
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Mailing Address
KAILEY ROBERSON JOHNSON PA-C
6051 ROMA DR APT 508
SHREVEPORT, LA 71105-4670
Phone number:
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