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1417423468
LARRY JOHNSON
BATON ROUGE, LA
NPI
1417423468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-10-17
Last Update Date
2018-10-22
Business Address
LARRY JOHNSON B.S.
4348 S JEFFREY DR STE 102
BATON ROUGE, LA 70816-4196
Phone number: 225-361-0219
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Mailing Address
LARRY JOHNSON B.S.
4348 S JEFFREY DR STE 102
BATON ROUGE, LA 70816-4196
Phone number: 225-361-0219
Copy
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