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1336388032
DIANA ELLEN JOHNSON
IVORYTON, CT
NPI
1336388032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: CT 002865)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
Ms. DIANA ELLEN JOHNSON APRN
2 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-304-0469
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Mailing Address
Ms. DIANA ELLEN JOHNSON APRN
2 RACHEL LN
IVORYTON, CT 06442-1154
Phone number: 860-304-0469
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