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1750504353
JACQUELINE RUTH JOHNSON
DECATUR, GA
NPI
1750504353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: GA 146319)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Ms. JACQUELINE RUTH JOHNSON M.Div.
4425 MEMORIAL DR
DECATUR, GA 30032-1337
Phone number: 404-298-8383
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Mailing Address
Ms. JACQUELINE RUTH JOHNSON M.Div.
764 WYNBROOKE PKWY
STONE MOUNTAIN, GA 30087-6322
Phone number: 770-469-1225
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