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1780395459
ROLANDA ANTOINETTE JOHNSON
SHREVEPORT, LA
NPI
1780395459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20150880)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
ROLANDA ANTOINETTE JOHNSON
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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Mailing Address
ROLANDA ANTOINETTE JOHNSON
1533 MARSHALL ST
SHREVEPORT, LA 71101-3941
Phone number: 318-626-5597
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