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1871064626
FANNIE DIANA JOHNSON
METAIRIE, LA
NPI
1871064626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
Ms. FANNIE DIANA JOHNSON
2400 EDENBORN AVE
METAIRIE, LA 70001-1817
Phone number: 504-831-6561
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Mailing Address
Ms. FANNIE DIANA JOHNSON
2400 EDENBORN AVE
METAIRIE, LA 70001-1817
Phone number: 504-831-6561
Copy
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