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1487184347
MICHAEL WAYNE JOHNSON
LAKE CHARLES, LA
NPI
1487184347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
MICHAEL WAYNE JOHNSON
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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Mailing Address
MICHAEL WAYNE JOHNSON
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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