NICOLE LEE JOHNSON

MARION, IL
NPI1336603109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043120707)
Enumeration Date2019-01-25
Last Update Date2019-01-25
Business Address
NICOLE LEE JOHNSON LPN
11531 SUNDERLAND RD
MARION, IL 62959-8274
Phone number: 618-201-9907
Mailing Address
NICOLE LEE JOHNSON LPN
4713 ELKVILLE RD
VERGENNES, IL 62994-1805
Phone number: 618-201-9907
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