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1154903078
BREANNA RAE JOHNSON
WARREN, OH
NPI
1154903078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.168085.MEDS-IV)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
BREANNA RAE JOHNSON LPN
4651 VERONA ST NW
WARREN, OH 44483-1738
Phone number: 330-979-3456
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Mailing Address
BREANNA RAE JOHNSON LPN
4651 VERONA ST NW
WARREN, OH 44483-1738
Phone number: 330-979-3456
Copy
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