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1861249633
OCTAVIA JOHNSON
SPRING LAKE, NC
NPI
1861249633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
OCTAVIA JOHNSON
102 SUPERIOR DR
SPRING LAKE, NC 28390-3190
Phone number: 910-484-1711
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Mailing Address
OCTAVIA JOHNSON
6525 GOODWRENCH DR
WADE, NC 28395-9629
Phone number: 919-648-6913
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