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1386202349
LEONARD JOHNSON JR
COLUMBUS, OH
NPI
1386202349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
LEONARD JOHNSON JR QMHSBA CMSBA
195 N GRANT AVE STE 250
COLUMBUS, OH 43215-2855
Phone number: 440-234-2006
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Mailing Address
LEONARD JOHNSON JR QMHSBA CMSBA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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