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1356862270
CARRIE FAYE JOHNSON
SHREVEPORT, LA
NPI
1356862270
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Former Name
CARRIE FAYE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09316)
Enumeration Date
2017-06-30
Last Update Date
2017-06-30
Business Address
CARRIE FAYE JOHNSON NP
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-212-9440
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Mailing Address
CARRIE FAYE JOHNSON NP
1431 DALZELL STREET MANAGED CARE
SHREVEPORT, LA 71103-3709
Phone number: 318-626-0284
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