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1598440943
TRACI I JOHNSON
BROKEN BOW, NE
NPI
1598440943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4501)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
TRACI I JOHNSON PT
325 S 1ST AVE
BROKEN BOW, NE 68822-2213
Phone number: 308-872-5111
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Mailing Address
TRACI I JOHNSON PT
PO BOX 435
BROKEN BOW, NE 68822-0435
Phone number: 308-872-5111
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