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1336656313
JOHNNY THOMAS JOHANSEN
AMARILLO, TX
NPI
1336656313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-16-4937-43967)
Enumeration Date
2017-12-29
Last Update Date
2017-12-29
Business Address
JOHNNY THOMAS JOHANSEN
6031 BELL ST.
AMARILLO, TX 79109
Phone number: 806-367-9358
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Mailing Address
JOHNNY THOMAS JOHANSEN
6031 BELL ST.
AMARILLO, TX 79109
Phone number: 806-367-9358
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