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1659899326
RALPHEAL JOHNSON
SHREVEPORT, LA
NPI
1659899326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2017-09-01
Last Update Date
2018-05-02
Business Address
Mr. RALPHEAL JOHNSON
1500 N MARKET ST STE C104
SHREVEPORT, LA 71107-6545
Phone number: 504-383-4775
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Mailing Address
Mr. RALPHEAL JOHNSON
PO BOX 52104
SHREVEPORT, LA 71135-2104
Phone number:
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