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1710563952
STEPHANIE JOHNSON
SHREVEPORT, LA
NPI
1710563952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
STEPHANIE JOHNSON
3257 BERT KOUNS INDUSTRIAL LOOP APT 16205
SHREVEPORT, LA 71118-2981
Phone number: 318-518-8478
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Mailing Address
STEPHANIE JOHNSON
3257 BERT KOUNS INDUSTRIAL LOOP APT 16205
SHREVEPORT, LA 71118-2981
Phone number:
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