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1215065404
EDNA JANN JOHNSON
TULLAHOMA, TN
NPI
1215065404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TN 38362)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- EDNA JANN JOHNSON
1805 N JACKSON ST
TULLAHOMA, TN 37388-2290
Phone number: 931-461-1300
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Mailing Address
-- EDNA JANN JOHNSON
1393 WHITESIDE HILL RD
WARTRACE, TN 37183-3054
Phone number: 931-461-1300
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