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1114692159
GLORIA OMAR JOHNSON
RICHMOND, VA
NPI
1114692159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002023000)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
GLORIA OMAR JOHNSON
4926 W BROAD ST
RICHMOND, VA 23230-3122
Phone number: 804-673-5241
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Mailing Address
GLORIA OMAR JOHNSON
602 MILTON ST
RICHMOND, VA 23222-2843
Phone number: 804-241-7596
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