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1669821468
LATISHA JOHNSON
GRAND RAPIDS, MI
NPI
1669821468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2016-06-13
Last Update Date
2023-01-12
Business Address
LATISHA JOHNSON
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
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Mailing Address
LATISHA JOHNSON
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
Copy
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