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1750984480
LARISSA JOHNSON
MANSFIELD, OH
NPI
1750984480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
LARISSA JOHNSON
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
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Mailing Address
LARISSA JOHNSON
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-560-6417
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