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1457798332
ARETHA DIANE JOHNSON
PEORIA, IL
NPI
1457798332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010440)
Enumeration Date
2013-05-31
Last Update Date
2014-01-23
Business Address
Mrs. ARETHA DIANE JOHNSON FNP
2321 N WISCONSIN AVENUE
PEORIA, IL 61603
Phone number: 309-680-7600
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Mailing Address
Mrs. ARETHA DIANE JOHNSON FNP
1701 W GARDEN STREET
PEORIA, IL 61605
Phone number: 309-680-7600
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