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1184090920
MANDI JO JOHNSON
GRANTSVILLE, WV
NPI
1184090920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WV 75549)
Enumeration Date
2015-08-17
Last Update Date
2018-08-22
Business Address
MANDI JO JOHNSON FNP-BC
186 HOSPITAL DR
GRANTSVILLE, WV 26147
Phone number: 304-354-9244
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Mailing Address
MANDI JO JOHNSON FNP-BC
186 HOSPITAL DR
GRANTSVILLE, WV 26147-7100
Phone number: 304-354-9244
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