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Individual

BAMBI JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
1707 E 7TH ST, CHARLOTTE, NC 28204-2413
(530) 526-4492
Mailing address
2450 ELKWOOD CIR, CHARLOTTE, NC 28205-2116
(530) 526-4492

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8253
NC

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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