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1003631334
CRYSTALLE JOHNSON
MEDIA, PA
NPI
1003631334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: PA MW010839)
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
CRYSTALLE JOHNSON CNM
1068 W BALTIMORE PIKE # 3106
MEDIA, PA 19063-5104
Phone number: 610-891-6240
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Mailing Address
CRYSTALLE JOHNSON CNM
1 PHEASANT LN
WILLINGBORO, NJ 08046-2760
Phone number: 609-367-6472
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