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1073101945
DENETRIUS JOHNSON
TYLER, TX
NPI
1073101945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 221417)
Enumeration Date
2021-01-06
Last Update Date
2021-01-06
Business Address
DENETRIUS JOHNSON
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
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Mailing Address
DENETRIUS JOHNSON
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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