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1285287789
MADDIE R JOHNSON
URBANA, IL
NPI
1285287789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209018800)
Enumeration Date
2019-07-23
Last Update Date
2019-07-23
Business Address
MADDIE R JOHNSON NP
509 W UNIVERSITY AVE
URBANA, IL 61801-1645
Phone number: 217-383-6636
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Mailing Address
MADDIE R JOHNSON NP
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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