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1548734270
TRACI L. JOHNSON
LAKE CHARLES, LA
NPI
1548734270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 201995)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
TRACI L. JOHNSON FNP-BC
4150 NELSON RD STE 5
LAKE CHARLES, LA 70605-4148
Phone number: 337-562-3761
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Mailing Address
TRACI L. JOHNSON FNP-BC
4150 NELSON RD STE 5
LAKE CHARLES, LA 70605-4148
Phone number: 337-562-3761
Copy
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