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1720346331
DEREK D JOHNSON
JONESBORO, AR
NPI
1720346331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- DEREK D JOHNSON
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- DEREK D JOHNSON
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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