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1104588854
LESLIE JOHNSON
MADISONVILLE, KY
NPI
1104588854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3016820)
Enumeration Date
2021-10-11
Last Update Date
2023-01-31
Business Address
LESLIE JOHNSON APRN
1350 N MAIN ST
MADISONVILLE, KY 42431-1282
Phone number: 270-245-2554
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Mailing Address
LESLIE JOHNSON APRN
9 E ARCH ST
MADISONVILLE, KY 42431-2063
Phone number: 888-501-9865
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