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1700224144
CANDI RENAE JOHNSON
MC KEE, KY
NPI
1700224144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: KY 201153621)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
Miss CANDI RENAE JOHNSON
87 TWIN OAK PL
MC KEE, KY 40447-7190
Phone number: 606-493-6176
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Mailing Address
Miss CANDI RENAE JOHNSON
87 TWIN OAK PL
MC KEE, KY 40447-7190
Phone number: 606-493-6176
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