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1790934560
STEPHANIE JORDAN JOHNSON
MACON, GA
NPI
1790934560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: GA 011-R-0359)
Enumeration Date
2008-09-16
Last Update Date
2008-09-16
Business Address
Mrs. STEPHANIE JORDAN JOHNSON
3839 ATWOOD DR
MACON, GA 31204-5620
Phone number: 478-757-8982
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Mailing Address
Mrs. STEPHANIE JORDAN JOHNSON
3839 ATWOOD DR
MACON, GA 31204-5620
Phone number: 478-757-8982
Copy
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