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1588969166
TAJUANA JOHNSON
LISLE, IL
NPI
1588969166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008594)
Enumeration Date
2011-01-13
Last Update Date
2021-12-02
Business Address
TAJUANA JOHNSON APN
805 OGDEN AVE
LISLE, IL 60532-1337
Phone number: 331-903-1759
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Mailing Address
TAJUANA JOHNSON APN
161 WASHINGTON STREET, 14TH FLOOR EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 19428
Phone number: 866-825-3227
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