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1518935717
MARY THERESE JOHNSON
EAU CLAIRE, WI
NPI
1518935717
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Former Name
MARY T BALS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 2374-033)
Enumeration Date
2006-03-14
Last Update Date
2021-03-30
Business Address
Ms. MARY THERESE JOHNSON RN, APRN
1221 WHIPPLE ST
EAU CLAIRE, WI 54703-5270
Phone number: 715-552-5346
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Mailing Address
Ms. MARY THERESE JOHNSON RN, APRN
PO BOX 1185
EAU CLAIRE, WI 54702-1185
Phone number: 715-552-5346
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