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1407315195
MARY JOHNSON
MOUNTAIN GROVE, MO
NPI
1407315195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2019007175)
Enumeration Date
2019-03-13
Last Update Date
2022-01-18
Business Address
MARY JOHNSON NP
120 W 16TH ST
MOUNTAIN GROVE, MO 65711-1039
Phone number: 417-926-6111
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Mailing Address
MARY JOHNSON NP
120 W 16TH ST
MOUNTAIN GROVE, MO 65711-1039
Phone number: 417-926-6111
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