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1992091508
ANGIE JOHNSON
CLINTON, AR
NPI
1992091508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- ANGIE JOHNSON Recovery Assistant
242 SHAKE RAG RD
CLINTON, AR 72031-6629
Phone number: 501-745-6644
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Mailing Address
-- ANGIE JOHNSON Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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