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1548458920
THAIRA EVYLENN JOHNSON
KELLER, TX
NPI
1548458920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 236689)
Enumeration Date
2007-10-10
Last Update Date
2009-01-22
Business Address
Ms. THAIRA EVYLENN JOHNSON RN, FNP-C
801 N TARRANT PKWY
KELLER, TX 76248-6860
Phone number: 817-428-5558
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Mailing Address
Ms. THAIRA EVYLENN JOHNSON RN, FNP-C
3236 RIVERWOOD DR
FORT WORTH, TX 76116-9560
Phone number: 817-738-1336
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