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1174093009
KATELYN M JOHNSON
PEORIA, IL
NPI
1174093009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209018151)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
KATELYN M JOHNSON APN, CNP
200 E PENNSYLVANIA AVE
PEORIA, IL 61603-3089
Phone number: 309-624-4000
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Mailing Address
KATELYN M JOHNSON APN, CNP
200 E PENNSYLVANIA AVE
PEORIA, IL 61603-3089
Phone number: 309-624-4000
Copy
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