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1134888134
MARY JOHNSON
FORT HOOD, TX
NPI
1134888134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 189519)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
MARY JOHNSON
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-553-3130
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Mailing Address
MARY JOHNSON
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number:
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