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1487203311
SHANAYIA MINIQUE JOHNSON
STAFFORD, VA
NPI
1487203311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
SHANAYIA MINIQUE JOHNSON
2761 JEFFERSON DAVIS HWY STE 107
STAFFORD, VA 22554-8330
Phone number: 540-699-3877
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Mailing Address
SHANAYIA MINIQUE JOHNSON
2761 JEFFERSON DAVIS HWY STE 107
STAFFORD, VA 22554-8330
Phone number: 540-699-3877
Copy
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