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1700620622
MARC RAY JOHNSON
OMAHA, NE
NPI
1700620622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NE 115439)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
MARC RAY JOHNSON
8601 W DODGE RD STE 106
OMAHA, NE 68114-3430
Phone number: 402-575-5577
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Mailing Address
MARC RAY JOHNSON
5030 MYRTLE ST
LINCOLN, NE 68506-6310
Phone number: 712-898-2456
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