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1215163498
WALTER L JOHNSTON
SIKESTON, MO
NPI
1215163498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2002018631)
Enumeration Date
2009-06-02
Last Update Date
2014-04-01
Business Address
Mr. WALTER L JOHNSTON
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-6003
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Mailing Address
Mr. WALTER L JOHNSTON
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-6003
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