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1194549113
TANISHA JOHNSON
GREEN BAY, WI
NPI
1194549113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 326698)
Enumeration Date
2024-11-15
Last Update Date
2024-11-18
Business Address
TANISHA JOHNSON
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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Mailing Address
TANISHA JOHNSON
9009 CAROTHERS PKWY STE C1
FRANKLIN, TN 37067-1704
Phone number: 615-538-7739
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