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1902051386
MEGAN O'DELL JOHNSON
SHREVEPORT, LA
NPI
1902051386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA200246)
Enumeration Date
2008-11-26
Last Update Date
2021-06-17
Business Address
MEGAN O'DELL JOHNSON
2551 GREENWOOD RD SUITE 350
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8710
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Mailing Address
MEGAN O'DELL JOHNSON
2551 GREENWOOD RD SUITE 350
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8710
Copy
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