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1356702054
SHANTEA S. JOHNSON
POWDER SPRINGS, GA
NPI
1356702054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: PA 19853)
Enumeration Date
2016-03-09
Last Update Date
2016-03-09
Business Address
-- SHANTEA S. JOHNSON MS, MPH, CHES, CHC
3721 NEW MACLAND RD STE 200-129
POWDER SPRINGS, GA 30127-2000
Phone number: 678-770-5247
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Mailing Address
-- SHANTEA S. JOHNSON MS, MPH, CHES, CHC
3721 NEW MACLAND RD STE 200-129
POWDER SPRINGS, GA 30127-2000
Phone number: 678-770-5247
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