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1831409283
AMANDA BROOK JOHNSON
LITTLE ROCK, AR
NPI
1831409283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: AR OTR2392)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
Mrs. AMANDA BROOK JOHNSON MSOTR/L
11517 KANIS RD
LITTLE ROCK, AR 72211-3724
Phone number: 501-993-7171
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Mailing Address
Mrs. AMANDA BROOK JOHNSON MSOTR/L
26 SERENITY LN
MAYFLOWER, AR 72106-9420
Phone number: 501-584-3468
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