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1649712548
TERA L. JOHNSON
TACOMA, WA
NPI
1649712548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA 60705836)
Enumeration Date
2016-11-08
Last Update Date
2024-03-01
Business Address
TERA L. JOHNSON CPNP-PC
9040 JACKSON AVE
TACOMA, WA 98431-3730
Phone number: 953-968-2252
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Mailing Address
TERA L. JOHNSON CPNP-PC
18420 111TH AVE E
PUYALLUP, WA 98374-8028
Phone number: 210-878-5584
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