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1386977130
NICHELLE RYNETTE JOHNSON
MARICOPA, AZ
NPI
1386977130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LPN044382)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
MS. NICHELLE RYNETTE JOHNSON LPN
44150 W MARICOPA CASA GRANDE HWY
MARICOPA, AZ 85138-5900
Phone number: 520-568-5100
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Mailing Address
MS. NICHELLE RYNETTE JOHNSON LPN
19522 N COMET TRL
MARICOPA, AZ 85138-5814
Phone number: 520-568-6036
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