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1033953559
NICOLE JOHNSON
MEDINA, OH
NPI
1033953559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
NICOLE JOHNSON
246 NORTHLAND DR STE 120
MEDINA, OH 44256-3440
Phone number: 440-260-6835
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Mailing Address
NICOLE JOHNSON
343 W BAGLEY RD
BEREA, OH 44017-1370
Phone number: 440-260-8300
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