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1104064831
SHATONA VANETTA JOHNSON
DALLAS, TX
NPI
1104064831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 675876)
Enumeration Date
2009-02-03
Last Update Date
2012-10-04
Business Address
-- SHATONA VANETTA JOHNSON
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-3111
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Mailing Address
-- SHATONA VANETTA JOHNSON
4434 10TH ST
BACLIFF, TX 77518-2217
Phone number: 281-549-6447
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