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1649819129
WANDA BRESHAE JOHNSON
COLUMBUS, GA
NPI
1649819129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
WANDA BRESHAE JOHNSON
506 MANCHESTER EXPY STE A13
COLUMBUS, GA 31904-6483
Phone number: 706-653-9343
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Mailing Address
WANDA BRESHAE JOHNSON
919 LAWYERS LN
COLUMBUS, GA 31906-3129
Phone number:
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