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1194301192
MARY JOHANSON
MORGANTOWN, WV
NPI
1194301192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-20
Last Update Date
2021-03-20
Business Address
MARY JOHANSON
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-293-1224
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Mailing Address
MARY JOHANSON
3112 DUBLIN DR
BISMARCK, ND 58503-6424
Phone number: 701-527-9235
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