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1093215543
CAROLYN JOHNSON
TYLER, TX
NPI
1093215543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 074266)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
CAROLYN JOHNSON
2310 BUCK DR
TYLER, TX 75701-2406
Phone number: 903-216-7229
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Mailing Address
CAROLYN JOHNSON
755 S BECKHAM AVE
TYLER, TX 75701-1903
Phone number: 903-534-4684
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