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1841026192
JACQUELINE JOHNSON
DOUGLASVILLE, GA
NPI
1841026192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
JACQUELINE JOHNSON
4775 SMOKESTONE DR
DOUGLASVILLE, GA 30135-4992
Phone number: 216-509-0781
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Mailing Address
JACQUELINE JOHNSON
4775 SMOKESTONE DR
DOUGLASVILLE, GA 30135-4992
Phone number: 216-509-0781
Copy
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