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1659429413
HEATHER L JOHNSON
GREEN BAY, WI
NPI
1659429413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2085-023)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- HEATHER L JOHNSON PA
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-496-4700
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Mailing Address
-- HEATHER L JOHNSON PA
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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