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1669841847
FELISA JOHNSON JOHNSON
SHREVEPORT, LA
NPI
1669841847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA Z20178)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- FELISA JOHNSON JOHNSON COTA
2743 MALCOLM ST
SHREVEPORT, LA 71108-2721
Phone number: 318-453-6601
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Mailing Address
-- FELISA JOHNSON JOHNSON COTA
2743 MALCOLM ST
SHREVEPORT, LA 71108-2721
Phone number: 318-453-6601
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