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1902422777
ANTOINE LEE JOHNSON
CLEVELAND, OH
NPI
1902422777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
Mr. ANTOINE LEE JOHNSON
11201 SHAKER BLVD STE 308
CLEVELAND, OH 44104-3871
Phone number: 216-417-8133
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Mailing Address
Mr. ANTOINE LEE JOHNSON
5520 TURNEY RD
GARFIELD HTS, OH 44125-3702
Phone number: 216-647-7026
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