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1386836948
GUS JOHNSON
NATCHITOCHES, LA
NPI
1386836948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: LA 10952)
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
Mr. GUS JOHNSON
750 OUIDA DR
NATCHITOCHES, LA 71457-5446
Phone number: 318-352-5961
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Mailing Address
Mr. GUS JOHNSON
750 OUIDA DR
NATCHITOCHES, LA 71457-5446
Phone number: 318-352-5961
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