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1396184263
CHARLISSA JOHNSON
CONWAY, AR
NPI
1396184263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
CHARLISSA JOHNSON RECOVERY ASSISTANT
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
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Mailing Address
CHARLISSA JOHNSON RECOVERY ASSISTANT
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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