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1356629968
MELANIE JEANNINE JOHNSTON
MADISON, MS
NPI
1356629968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: MS TA1800)
Enumeration Date
2011-07-31
Last Update Date
2011-07-31
Business Address
Mrs. MELANIE JEANNINE JOHNSTON COTA/L
248 GENEVA BLVD
MADISON, MS 39110-7739
Phone number: 601-260-7793
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Mailing Address
Mrs. MELANIE JEANNINE JOHNSTON COTA/L
248 GENEVA BLVD
MADISON, MS 39110-7739
Phone number: 601-260-7793
Copy
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