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1568818672
JAYVIAN JOHNSON
LITTLE ROCK, AR
NPI
1568818672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: AR 46-0763339)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- JAYVIAN JOHNSON
2116 E 11TH ST
LITTLE ROCK, AR 72202-4320
Phone number: 501-425-8174
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Mailing Address
-- JAYVIAN JOHNSON
PO BOX 166415
LITTLE ROCK, AR 72216-6415
Phone number: 501-425-8174
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