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1295218782
HENRY JOHNSON
LAKE CHARLES, LA
NPI
1295218782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA AP10155)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
HENRY JOHNSON APRN, PMHNP-BC
324 W HALE ST
LAKE CHARLES, LA 70601-8439
Phone number: 337-433-9177
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Mailing Address
HENRY JOHNSON APRN, PMHNP-BC
324 W HALE ST
LAKE CHARLES, LA 70601-8439
Phone number:
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