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1558180455
FREDRICKLYN EDWINA JOHNSON
CHARLOTTE, NC
NPI
1558180455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
FREDRICKLYN EDWINA JOHNSON
13113 CAMERON GROVE LOOP APT 307
CHARLOTTE, NC 28262-2825
Phone number: 617-309-6716
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Mailing Address
FREDRICKLYN EDWINA JOHNSON
13113 CAMERON GROVE LOOP APT 307
CHARLOTTE, NC 28262-2825
Phone number: 617-309-6716
Copy
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