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1174611602
ELSA CHRISTINE JOHNSON
BLOOMINGTON, IN
NPI
1174611602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71000606)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- ELSA CHRISTINE JOHNSON ANP
600 N JORDAN AVE
BLOOMINGTON, IN 47405-3190
Phone number: 812-855-0060
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Mailing Address
-- ELSA CHRISTINE JOHNSON ANP
730 MOSS CREEK DR
BLOOMINGTON, IN 47401-4573
Phone number: 812-335-9555
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