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1225621154
DEDRA JOHNSON
RICHMOND, TX
NPI
1225621154
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Professional Name
DEDRA JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1019802)
Enumeration Date
2021-02-11
Last Update Date
2024-11-13
Business Address
DEDRA JOHNSON
8554 RUBY RIVER LN
RICHMOND, TX 77407-2580
Phone number: 716-444-2537
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Mailing Address
DEDRA JOHNSON
8554 RUBY RIVER LN
RICHMOND, TX 77407-2580
Phone number: 716-444-2537
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