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1922473966
OBIE S. JOHNSON
THIBODAUX, LA
NPI
1922473966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
Mr. OBIE S. JOHNSON BA
142 LAURA DR SUITE D
THIBODAUX, LA 70301-2988
Phone number: 985-446-4114
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Mailing Address
Mr. OBIE S. JOHNSON BA
142 LAURA DR SUITE D
THIBODAUX, LA 70301-2988
Phone number: 985-446-4114
Copy
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