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1558929562
ADRIAN JOHNSON
VIDALIA, LA
NPI
1558929562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-04
Last Update Date
2019-08-21
Business Address
ADRIAN JOHNSON
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 318-336-8383
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Mailing Address
ADRIAN JOHNSON
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 318-336-8383
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