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1164765335
CHAVON EBONY JOHNSON
MILWAUKEE, WI
NPI
1164765335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 309-064-31)
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
Ms. CHAVON EBONY JOHNSON LPN
5422 N 92ND ST
MILWAUKEE, WI 53225-3417
Phone number: 414-779-9728
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Mailing Address
Ms. CHAVON EBONY JOHNSON LPN
5422 N 92ND ST
MILWAUKEE, WI 53225-3417
Phone number: 414-779-9728
Copy
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