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1598476210
TABITHA ANN JOHNSON
MYRTLE BEACH, SC
NPI
1598476210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 54146)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
TABITHA ANN JOHNSON LPN
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 800-805-6989
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Mailing Address
TABITHA ANN JOHNSON LPN
5006 WATERGATE DR
MYRTLE BEACH, SC 29588-6320
Phone number: 203-584-2719
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