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1275041097
NICOLE R JOHNSON
SPRINGFIELD, IL
NPI
1275041097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017282)
Enumeration Date
2018-01-15
Last Update Date
2024-09-13
Business Address
NICOLE R JOHNSON APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
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Mailing Address
NICOLE R JOHNSON APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
Copy
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