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1871038729
KELLI SHA'RON JOHNSON
DECATUR, GA
NPI
1871038729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN068141)
Enumeration Date
2017-01-02
Last Update Date
2017-01-02
Business Address
MISS KELLI SHA'RON JOHNSON LPN
3014 BORING RIDGE DR
DECATUR, GA 30034-4427
Phone number: 678-907-2193
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Mailing Address
MISS KELLI SHA'RON JOHNSON LPN
3014 BORING RIDGE DR
DECATUR, GA 30034-4427
Phone number: 678-907-2193
Copy
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