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1558604801
ANTWONE JOHNSON
DETROIT, MI
NPI
1558604801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703110366)
Enumeration Date
2013-04-04
Last Update Date
2013-04-04
Business Address
-- ANTWONE JOHNSON LPN
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
-- ANTWONE JOHNSON LPN
3851 MCCLELLAN ST
DETROIT, MI 48214-1311
Phone number: 313-829-2557
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