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1104660273
SHALLON TENNILLE JOHNSON
AUSTINTOWN, OH
NPI
1104660273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 0037086)
Enumeration Date
2024-06-22
Last Update Date
2024-09-18
Business Address
Mrs. SHALLON TENNILLE JOHNSON FNP-C
5760 PATRIOT BLVD
AUSTINTOWN, OH 44515-1170
Phone number: 330-953-0243
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Mailing Address
Mrs. SHALLON TENNILLE JOHNSON FNP-C
20 OHLTOWN RD
YOUNGSTOWN, OH 44515-2331
Phone number: 330-884-1500
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