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1619621141
STEPHANIE CANDICE JOHNSON
DOUGLASVILLE, GA
NPI
1619621141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL 5228622)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
STEPHANIE CANDICE JOHNSON LPN
6204 CENTRAL CHURCH RD
DOUGLASVILLE, GA 30135-3374
Phone number: 352-678-9988
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Mailing Address
STEPHANIE CANDICE JOHNSON LPN
6204 CENTRAL CHURCH RD
DOUGLASVILLE, GA 30135-3374
Phone number: 352-678-9988
Copy
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