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1649734823
DEASTRA LYSHELL JOHNSON
SHREVEPORT, LA
NPI
1649734823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
DEASTRA LYSHELL JOHNSON
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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Mailing Address
DEASTRA LYSHELL JOHNSON
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
Copy
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