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1568715456
MALIA JOHNSON
MEDFORD, OR
NPI
1568715456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202001826NP-PP)
Enumeration Date
2012-10-17
Last Update Date
2020-04-27
Business Address
MALIA JOHNSON DNP, FNP
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
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Mailing Address
MALIA JOHNSON DNP, FNP
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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