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1609463801
MARK LAMONT JOHNSON
TOLEDO, OH
NPI
1609463801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: OH 8702313)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
MARK LAMONT JOHNSON
5626 CRESTHAVEN LN
TOLEDO, OH 43614-1241
Phone number: 419-810-4375
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Mailing Address
MARK LAMONT JOHNSON
5626 CRESTHAVEN LN
TOLEDO, OH 43614-1241
Phone number: 419-810-4375
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