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1811779267
STACEY LYNN JOHNSON
GALLIPOLIS, OH
NPI
1811779267
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Former Name
STACEY LYNN LOONEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
STACEY LYNN JOHNSON
1591 STATE ROUTE 160
GALLIPOLIS, OH 45631-9052
Phone number: 800-321-8293
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Mailing Address
STACEY LYNN JOHNSON
PO BOX 132
ATHENS, OH 45701-0132
Phone number:
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