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1609461136
HALEY JOHNSON
SHREVEPORT, LA
NPI
1609461136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 172608)
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
HALEY JOHNSON CSFA
10037 ALONDRA ST
SHREVEPORT, LA 71115-3402
Phone number: 318-294-2334
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Mailing Address
HALEY JOHNSON CSFA
10037 ALONDRA ST
SHREVEPORT, LA 71115-3402
Phone number: 318-294-2334
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