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1073883146
ELIZABETH JOHNSON
WENTZVILLE, MO
NPI
1073883146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2011040126)
Enumeration Date
2012-01-06
Last Update Date
2021-10-28
Business Address
ELIZABETH JOHNSON FNP
1111 W PEARCE BLVD
WENTZVILLE, MO 63385-1020
Phone number: 636-887-3020
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Mailing Address
ELIZABETH JOHNSON FNP
2907 RIDGEWAY AVE
SAINT LOUIS, MO 63114-4546
Phone number: 314-938-4438
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