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1619710563
SAMANTHA FRESIA JOHNSON
ATHENS, OH
NPI
1619710563
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Former Name
SAMANTHA LYALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH 0036739)
Enumeration Date
2024-06-18
Last Update Date
2024-08-06
Business Address
SAMANTHA FRESIA JOHNSON CNP
2131 E STATE ST
ATHENS, OH 45701-2138
Phone number: 740-589-3100
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Mailing Address
SAMANTHA FRESIA JOHNSON CNP
100 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5000
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