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1477376341
SHAWNDELL KAY JOHNSON
BRIDGEPORT, WV
NPI
1477376341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
SHAWNDELL KAY JOHNSON
2820 HINKLE LAKE RD
BRIDGEPORT, WV 26330-6783
Phone number: 304-476-8582
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Mailing Address
SHAWNDELL KAY JOHNSON
2820 HINKLE LAKE RD
BRIDGEPORT, WV 26330-6783
Phone number: 304-476-8582
Copy
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