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1861144438
KEA JOHNSON
DALLAS, TX
NPI
1861144438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: TX 45D2249010)
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
KEA JOHNSON
2714 S 2ND AVE
DALLAS, TX 75210-2090
Phone number: 469-720-3797
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Mailing Address
KEA JOHNSON
PO BOX 2852
ROWLETT, TX 75030-2852
Phone number: 469-720-3797
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