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1295211480
KIMBERLY DAWN JOHNSON
SHREVEPORT, LA
NPI
1295211480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-11
Last Update Date
2018-07-30
Business Address
KIMBERLY DAWN JOHNSON
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
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Mailing Address
KIMBERLY DAWN JOHNSON
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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