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1699331934
LAKEATA JOHNSON
CHARLOTTE, NC
NPI
1699331934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: NC C77340)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
LAKEATA JOHNSON LICENSED COSMETOLOGI
2070 AYRSLEY TOWN BLVD UNIT A
CHARLOTTE, NC 28273-4056
Phone number: 980-228-6653
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Mailing Address
LAKEATA JOHNSON LICENSED COSMETOLOGI
2070 AYRSLEY TOWN BLVD UNIT A
CHARLOTTE, NC 28273-4056
Phone number: 980-228-6653
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