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1316498603
MADELINE M JOHNSTON
GLENDALE, AZ
NPI
1316498603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ I011651)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- MADELINE M JOHNSTON
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number: 623-572-3215
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Mailing Address
-- MADELINE M JOHNSTON
19555 N 59TH AVE
GLENDALE, AZ 85308-6813
Phone number:
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