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1003251539
MARY AGNES JOHNSON
FORT WORTH, TX
NPI
1003251539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 834891)
Enumeration Date
2013-05-10
Last Update Date
2013-05-10
Business Address
-- MARY AGNES JOHNSON NP
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-7070
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Mailing Address
-- MARY AGNES JOHNSON NP
2900 WILLING AVE
FORT WORTH, TX 76110-3446
Phone number: 334-744-0554
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