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1053410571
TRACEY J JOHNSON
ROSEVILLE, CA
NPI
1053410571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP6930)
Enumeration Date
2006-09-21
Last Update Date
2013-10-25
Business Address
-- TRACEY J JOHNSON NP
3 MEDICAL PLAZA DR #260
ROSEVILLE, CA 95661-3087
Phone number: 916-773-7977
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Mailing Address
-- TRACEY J JOHNSON NP
10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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