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1013579317
CAMILLE MACHEA JOHNSON
WASILLA, AK
NPI
1013579317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: AK NURR37059)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
CAMILLE MACHEA JOHNSON
2521 E MOUNTAIN VILLAGE DR STE F
WASILLA, AK 99654-7373
Phone number: 907-290-3760
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Mailing Address
CAMILLE MACHEA JOHNSON
480 S TIMBERWOOD CIR
PALMER, AK 99645-8937
Phone number: 907-230-8191
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