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1366923658
DWAYNE ANTHONY JOHNSON
GRAND RAPIDS, MI
NPI
1366923658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
DWAYNE ANTHONY JOHNSON
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
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Mailing Address
DWAYNE ANTHONY JOHNSON
1115 BALL AVE NE BLDG A
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
Copy
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