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1609621085
DEMARCO SHAUNTEZ JOHNSON
WATERFORD, MI
NPI
1609621085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
DEMARCO SHAUNTEZ JOHNSON
279 SUMMIT DR
WATERFORD, MI 48328-3364
Phone number: 248-745-4900
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Mailing Address
DEMARCO SHAUNTEZ JOHNSON
17499 W 13 MILE RD
SOUTHFIELD, MI 48076-1266
Phone number: 131-352-3555
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