ANTQUALENE LAVETTE JOHNSON

FORT POLK, LA
NPI1720346943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence:   1103343)
Enumeration Date2012-04-25
Last Update Date2012-04-25
Business Address
Mrs. ANTQUALENE LAVETTE JOHNSON PA-C
2260 GLORY LOOP BLDG 1260
FORT POLK, LA 71446
Phone number: 337-531-4127
Mailing Address
Mrs. ANTQUALENE LAVETTE JOHNSON PA-C
2260 GLORY LOOP BLDG 1260
FORT POLK, LA 71446
Phone number: 337-531-4127
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