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1336917269
AVERY JOHNSON
OMAHA, NE
NPI
1336917269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-20
Last Update Date
2024-12-13
Business Address
AVERY JOHNSON
6420 S 193RD AVE
OMAHA, NE 68135-3947
Phone number: 402-397-9688
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Mailing Address
AVERY JOHNSON
6420 S 193RD AVE
OMAHA, NE 68135-3947
Phone number: 402-397-9866
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