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1386234938
STACIA JOHNSON
ATHENS, AL
NPI
1386234938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2021-01-18
Last Update Date
2021-01-18
Business Address
STACIA JOHNSON
1707 US HIGHWAY 72 W
ATHENS, AL 35611-2948
Phone number: 256-466-2131
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Mailing Address
STACIA JOHNSON
2024 BRAYDEN DR SW
DECATUR, AL 35603-2476
Phone number: 256-654-4820
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