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1922404698
SHYRETHA JOHNSON
FORT SMITH, AR
NPI
1922404698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
-- SHYRETHA JOHNSON
1340 S WALDRON RD
FORT SMITH, AR 72903-2556
Phone number: 479-452-5040
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Mailing Address
-- SHYRETHA JOHNSON
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040
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