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1346518578
DIANE NICOLE JOHNSON
SURPRISE, AZ
NPI
1346518578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5728)
Enumeration Date
2011-12-02
Last Update Date
2014-07-18
Business Address
-- DIANE NICOLE JOHNSON PA-C
15510 W BELL RD
SURPRISE, AZ 85374-3436
Phone number: 623-584-8593
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Mailing Address
-- DIANE NICOLE JOHNSON PA-C
15510 W BELL RD
SURPRISE, AZ 85374-3436
Phone number: 623-584-8593
Copy
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