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1487734299
NICHELLE ANTOINETTE JOHNSON
FORT POLK, LA
NPI
1487734299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND 3309)
Enumeration Date
2006-10-16
Last Update Date
2021-10-26
Business Address
Miss NICHELLE ANTOINETTE JOHNSON R.D, L.D.
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3349
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Mailing Address
Miss NICHELLE ANTOINETTE JOHNSON R.D, L.D.
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 808-433-2460
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