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1013178177
CATHY JOHANSEN
DECATUR, IL
NPI
1013178177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043-060980)
Enumeration Date
2008-06-21
Last Update Date
2008-06-21
Business Address
-- CATHY JOHANSEN L.P.N.
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
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Mailing Address
-- CATHY JOHANSEN L.P.N.
PO BOX 710
DECATUR, IL 62525-0710
Phone number: 217-362-6262
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