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1518211218
LORI JOHNSON
FORT CAMPBELL, KY
NPI
1518211218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 00000)
Enumeration Date
2012-11-01
Last Update Date
2018-06-21
Business Address
LORI JOHNSON
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone number: 210-250-1995
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Mailing Address
LORI JOHNSON
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 210-250-1995
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