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1700391786
SHALANDA JOHNSON
CAPE GIRARDEAU, MO
NPI
1700391786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2012042947)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
SHALANDA JOHNSON
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
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Mailing Address
SHALANDA JOHNSON
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
Copy
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