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1164588018
KRISTIN D JOHNSON
SPARTANBURG, SC
NPI
1164588018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 1375 APRN)
Enumeration Date
2006-12-28
Last Update Date
2009-05-26
Business Address
KRISTIN D JOHNSON
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6122
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Mailing Address
KRISTIN D JOHNSON
PO BOX 651602
CHARLOTTE, NC 28265-1602
Phone number: 864-560-4123
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