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1891039376
SELLITTIA RENAE JOHNSON
COLUMBIA, TN
NPI
1891039376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
-- SELLITTIA RENAE JOHNSON
211 B WAYNE STREET
COLUMBIA, TN 38401
Phone number: 931-560-3075
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Mailing Address
-- SELLITTIA RENAE JOHNSON
827 EAST GRIGSBY STREET
PULASKI, TN 38478
Phone number: 931-292-8124
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