MICAH GELANI JOHNSON

OSHKOSH, WI
NPI1144194739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WI  264928-30)
Enumeration Date2025-10-06
Last Update Date2025-10-06
Business Address
MICAH GELANI JOHNSON
800 ALGOMA BLVD
OSHKOSH, WI 54901-3551
Phone number: 920-424-1234
Mailing Address
MICAH GELANI JOHNSON
6408 BRIDGE RD APT 242
MONONA, WI 53713-1832
Phone number: 908-229-8633
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