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1366199614
CARRIE JO JOHANNS
CHESTERFIELD, MO
NPI
1366199614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MO 2012011626)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
CARRIE JO JOHANNS AGACNP
232 S WOODS MILL RD
CHESTERFIELD, MO 63017-3485
Phone number: 314-434-1500
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Mailing Address
CARRIE JO JOHANNS AGACNP
19 MILLBROOK LN
KIRKWOOD, MO 63122-5202
Phone number: 763-227-8527
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