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1942871579
MICHIKO WANATESHE JOHNSON
STOCKBRIDGE, GA
NPI
1942871579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: GA 863355445)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
Miss MICHIKO WANATESHE JOHNSON
190 BOWEN RD
STOCKBRIDGE, GA 30281-1812
Phone number: 678-939-8625
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Mailing Address
Miss MICHIKO WANATESHE JOHNSON
190 BOWEN RD
STOCKBRIDGE, GA 30281-1812
Phone number: 678-939-8625
Copy
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