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1144539107
KELLY A JOHNSON
AUBURN, ME
NPI
1144539107
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Former Name
KELLY A LARGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP101067)
Enumeration Date
2010-09-24
Last Update Date
2021-01-27
Business Address
KELLY A JOHNSON NP
2 GREAT FALLS PLZ STE 21
AUBURN, ME 04210-5966
Phone number: 207-330-3950
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Mailing Address
KELLY A JOHNSON NP
PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8950
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