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1285198176
PHILIP GAYLES JOHNSON
LOUISVILLE, KY
NPI
1285198176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: KY 253749)
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
PHILIP GAYLES JOHNSON
1044 ALTA VISTA RD
LOUISVILLE, KY 40205-1758
Phone number: 502-377-4999
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Mailing Address
PHILIP GAYLES JOHNSON
1044 ALTA VISTA RD
LOUISVILLE, KY 40205-1758
Phone number: 502-377-4999
Copy
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