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1003401449
REBECCA RAE JOHANSEN
DES MOINES, IA
NPI
1003401449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A157622)
Enumeration Date
2021-03-08
Last Update Date
2022-06-22
Business Address
REBECCA RAE JOHANSEN NP-C
1215 PLEASANT ST STE 308
DES MOINES, IA 50309-1409
Phone number: 515-241-4325
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Mailing Address
REBECCA RAE JOHANSEN NP-C
1215 PLEASANT ST STE 308
DES MOINES, IA 50309-1409
Phone number: 515-241-4325
Copy
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