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1578764965
HENDERSON JOHNSON
OPELOUSAS, LA
NPI
1578764965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: LA clp.200901-phl)
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
Mr. HENDERSON JOHNSON
111 SOUTH COURT ST
OPELOUSAS, LA 70570
Phone number: 337-948-4481
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Mailing Address
Mr. HENDERSON JOHNSON
PO BOX 671
OPELOUSAS, LA 70571-0671
Phone number: 337-948-4481
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