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1003898487
LILLY ROSE JOHNSON
FORT LEAVENWORTH, KS
NPI
1003898487
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Former Name
LILLY ROSE COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 0000062093)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
MRS. LILLY ROSE JOHNSON LPN
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6671
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Mailing Address
MRS. LILLY ROSE JOHNSON LPN
101 LIGGETT AVE
FORT LEAVENWORTH, KS 66027-1228
Phone number: 913-364-4454
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