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1528834249
SHANIYA OCTAVIA JOHNSON
WINSTON SALEM, NC
NPI
1528834249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NC 20175)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
SHANIYA OCTAVIA JOHNSON LMBT
2912 LYNDHURST AVE
WINSTON SALEM, NC 27103-4006
Phone number: 910-360-3616
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Mailing Address
SHANIYA OCTAVIA JOHNSON LMBT
257 GLEN EAGLES DR
WINSTON SALEM, NC 27104-5329
Phone number: 910-360-3616
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