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1912765058
LADAISHA A JOHNSON
RUSTON, LA
NPI
1912765058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
LADAISHA A JOHNSON
413 S FARMERVILLE ST
RUSTON, LA 71270-4654
Phone number: 318-548-1463
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Mailing Address
LADAISHA A JOHNSON
413 S FARMERVILLE ST
RUSTON, LA 71270-4654
Phone number:
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