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1174066799
MARYGRACE JOHNSON
LUBBOCK, TX
NPI
1174066799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP132557)
Enumeration Date
2016-11-30
Last Update Date
2021-02-22
Business Address
MARYGRACE JOHNSON NP
5115 80TH ST
LUBBOCK, TX 79424-3017
Phone number: 806-788-4368
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Mailing Address
MARYGRACE JOHNSON NP
PO BOX 93128
LUBBOCK, TX 79493-3128
Phone number: 880-678-8438
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