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1659825198
LONNIE JOHNSON
MARIETTA, GA
NPI
1659825198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX 1001300)
Enumeration Date
2016-08-13
Last Update Date
2016-08-13
Business Address
LONNIE JOHNSON
1750 POWDER SPRINGS RD SW STE 190
MARIETTA, GA 30064-4861
Phone number: 404-242-9881
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Mailing Address
LONNIE JOHNSON
3061 MILFORD CHASE SW
MARIETTA, GA 30008-6882
Phone number: 404-242-9881
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