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1679510309
MARY I JOHNSON
COLUMBIA, MO
NPI
1679510309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 048830)
Enumeration Date
2006-06-01
Last Update Date
2012-08-09
Business Address
-- MARY I JOHNSON APRN
115 BUSINESS LOOP 70 W
COLUMBIA, MO 65203-3244
Phone number: 573-882-4979
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Mailing Address
-- MARY I JOHNSON APRN
PO BOX 7687
COLUMBIA, MO 65205-7687
Phone number: 573-882-2259
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