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1295492130
SHONDA DEANA JOHNSON
GREENVILLE, SC
NPI
1295492130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 26263)
Enumeration Date
2021-11-28
Last Update Date
2022-10-14
Business Address
Mrs. SHONDA DEANA JOHNSON
200 PATEWOOD DR FL 4
GREENVILLE, SC 29615-3593
Phone number: 864-454-5612
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Mailing Address
Mrs. SHONDA DEANA JOHNSON
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number:
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