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1306317383
RACHAEL O JOHNSON
CARBONDALE, IL
NPI
1306317383
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Former Name
RACHAEL O JEGEDE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209018485)
Enumeration Date
2018-12-17
Last Update Date
2018-12-19
Business Address
RACHAEL O JOHNSON PMHNP-BC
404 S. LEWIS LN
CARBONDALE, IL 62901
Phone number: 618-519-9200
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Mailing Address
RACHAEL O JOHNSON PMHNP-BC
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918-0577
Phone number: 618-985-8221
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