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1497376545
SHAWITEKIA JOHNSON
THOMSON, GA
NPI
1497376545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
SHAWITEKIA JOHNSON
312 MAGNOLIA DR
THOMSON, GA 30824-1842
Phone number: 706-699-6671
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Mailing Address
SHAWITEKIA JOHNSON
735 PINEVIEW DR SW
THOMSON, GA 30824-8219
Phone number:
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