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1366680928
CRYSTAL CHANDARA JOHNSTON
HANNIBAL, MO
NPI
1366680928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2004026370)
Enumeration Date
2009-02-04
Last Update Date
2009-02-04
Business Address
CRYSTAL CHANDARA JOHNSTON LPN
4355 PARIS GRAVEL RD
HANNIBAL, MO 63401-6017
Phone number: 573-248-3811
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Mailing Address
CRYSTAL CHANDARA JOHNSTON LPN
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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