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1710443767
ANTALLIA SHAUNTELL JOHNSON
BOAZ, AL
NPI
1710443767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AL 1-154179)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
ANTALLIA SHAUNTELL JOHNSON CRNP
2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL 35957
Phone number: 256-840-4530
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Mailing Address
ANTALLIA SHAUNTELL JOHNSON CRNP
2505 US HWY 431 WOMEN'S CENTER SUITE A
BOAZ, AL 35957
Phone number: 256-840-4530
Copy
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