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Individual
DONTAVIS JOHNSON
Active
Individual
DONTAVIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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