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1720341274
KHALYNE THERYSE JOHNSON
SHEBOYGAN, WI
NPI
1720341274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 61556-20)
Enumeration Date
2012-06-20
Last Update Date
2024-09-09
Business Address
Mrs. KHALYNE THERYSE JOHNSON M.D.
1813 ASHLAND AVE
SHEBOYGAN, WI 53081-6125
Phone number: 920-458-4010
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Mailing Address
Mrs. KHALYNE THERYSE JOHNSON M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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