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1679308373
CHANNING JOHNSON
DES MOINES, IA
NPI
1679308373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A181114)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
CHANNING JOHNSON FNP-C
1111 6TH AVE
DES MOINES, IA 50314-2613
Phone number: 515-247-3173
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Mailing Address
CHANNING JOHNSON FNP-C
1305 SW FLOYD LN
ANKENY, IA 50023-1290
Phone number: 515-442-3500
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