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1558815589
LARRY JOHNSON
HOPE, AR
NPI
1558815589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
-- LARRY JOHNSON
300 E 20TH ST
HOPE, AR 71801-8217
Phone number: 870-777-9051
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Mailing Address
-- LARRY JOHNSON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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