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1295979581
DONNA RAE JOHNSON
SURPRISE, AZ
NPI
1295979581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP009341)
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
Mrs. DONNA RAE JOHNSON L.P.N.
15550 N PARKVIEW PL
SURPRISE, AZ 85374-7465
Phone number: 623-876-7944
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Mailing Address
Mrs. DONNA RAE JOHNSON L.P.N.
8932 N 94TH AVE
PEORIA, AZ 85345-7710
Phone number: 623-876-7944
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