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1730801093
PATRICIA D JOHNSON
VALDOSTA, GA
NPI
1730801093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
Mrs. PATRICIA D JOHNSON PP
1341 W HILL AVE
VALDOSTA, GA 31601-5235
Phone number: 229-249-7730
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Mailing Address
Mrs. PATRICIA D JOHNSON PP
156 PEACH AVE S
LEESBURG, GA 31763-3781
Phone number: 407-314-5159
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