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1295086007
SUSIE JOHNSON
TUBA CITY, AZ
NPI
1295086007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: AZ CNA792318353)
Enumeration Date
2012-09-20
Last Update Date
2012-09-20
Business Address
-- SUSIE JOHNSON CNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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Mailing Address
-- SUSIE JOHNSON CNA
P.O. BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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