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1639523012
LYSANDRA JOHNSON
LAFAYETTE, LA
NPI
1639523012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-21
Last Update Date
2018-06-19
Business Address
LYSANDRA JOHNSON
1304 BERTRAND DR STE B2
LAFAYETTE, LA 70506
Phone number: 337-484-1227
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Mailing Address
LYSANDRA JOHNSON
106 FANFARE LN
LAFAYETTE, LA 70507-2598
Phone number: 337-278-6331
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