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1023140167
KENITA K JOHNSON
OMAHA, NE
NPI
1023140167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1279)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
-- KENITA K JOHNSON PA-C
4101 WOOLWORTH AVE
OMAHA, NE 68105-1850
Phone number: 402-346-8800
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Mailing Address
-- KENITA K JOHNSON PA-C
10621 POPPLETON AVE
OMAHA, NE 68124-1035
Phone number: 402-397-4769
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