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1225506678
NICOLE RUNYAN-JOHANSON
NEW IBERIA, LA
NPI
1225506678
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Professional Name
NICOLE JOHANSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP10214)
Enumeration Date
2018-11-04
Last Update Date
2018-11-04
Business Address
NICOLE RUNYAN-JOHANSON FNP-C
1100 ANDRE ST STE 301
NEW IBERIA, LA 70563-2159
Phone number: 337-364-9225
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Mailing Address
NICOLE RUNYAN-JOHANSON FNP-C
1100 ANDRE ST STE 301
NEW IBERIA, LA 70563-2159
Phone number: 337-364-9225
Copy
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