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1407271711
LAREISHA JOHNSON
MOORE, OK
NPI
1407271711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- LAREISHA JOHNSON
2436 N NOTTINGHAM WAY APT 79
MOORE, OK 73160-1252
Phone number: 405-889-8702
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Mailing Address
-- LAREISHA JOHNSON
2436 N NOTTINGHAM WAY APT 79
MOORE, OK 73160-1252
Phone number: 405-889-8702
Copy
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