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1134417280
CAROLYN ILENE JOHNSON
CEDAR FALLS, IA
NPI
1134417280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA 102947)
Enumeration Date
2011-07-11
Last Update Date
2017-01-06
Business Address
-- CAROLYN ILENE JOHNSON NURSE PRACTITIONER
516 DIVISION ST STE 110
CEDAR FALLS, IA 50613-2381
Phone number: 319-268-3550
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Mailing Address
-- CAROLYN ILENE JOHNSON NURSE PRACTITIONER
5228 E EAGLE RD
LA PORTE CITY, IA 50651-2116
Phone number:
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