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1356484596
NICKLETT R JOHNSTON
BENSON, AZ
NPI
1356484596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 546098)
Enumeration Date
2007-02-15
Last Update Date
2018-08-23
Business Address
NICKLETT R JOHNSTON NP
688 W 4TH ST STE B
BENSON, AZ 85602
Phone number: 520-720-6551
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Mailing Address
NICKLETT R JOHNSTON NP
688 W 4TH ST STE B
BENSON, AZ 85602-6315
Phone number: 520-720-6551
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