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1194380576
JACQUELYN L JOHNSON
BLOOMINGTON, IL
NPI
1194380576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: IL 246000255)
Enumeration Date
2019-05-01
Last Update Date
2021-10-05
Business Address
JACQUELYN L JOHNSON MS, CGC
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-665-4849
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Mailing Address
JACQUELYN L JOHNSON MS, CGC
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number:
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