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1831659341
LATESHIA SHANISE JOHNSON
RALEIGH, NC
NPI
1831659341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
LATESHIA SHANISE JOHNSON
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601-3000
Phone number: 888-880-9270
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Mailing Address
LATESHIA SHANISE JOHNSON
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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