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1891210217
CELIA JOHNSON
SHREVEPORT, LA
NPI
1891210217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: LA 2203782947)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
CELIA JOHNSON
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 131-862-6559
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Mailing Address
CELIA JOHNSON
1500 N MARKET ST
SHREVEPORT, LA 71107-6537
Phone number: 1318-626-5597
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