IVY JOHANSON

KLAMATH FALLS, OR
NPI1346908928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  10025020)
Enumeration Date2021-12-01
Last Update Date2025-10-07
Business Address
IVY JOHANSON
3305 SUNSHINE PL
KLAMATH FALLS, OR 97603-7059
Phone number: 530-774-0285
Mailing Address
IVY JOHANSON
3305 SUNSHINE PL
KLAMATH FALLS, OR 97603-7059
Phone number: 530-774-0285
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