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1912615014
THAD S JOHNSON
DOTHAN, AL
NPI
1912615014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
THAD S JOHNSON
3101 MOCKINGBIRD LANE
DOTHAN, AL 36303
Phone number: 334-797-9349
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Mailing Address
THAD S JOHNSON
3101 MOCKINGBIRD LANE
DOTHAN, AL 36303
Phone number: 334-797-9349
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