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1720760796
TRACY JOHNSON
MUNSTER, IN
NPI
1720760796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: IN CNA1002493)
Enumeration Date
2023-08-01
Last Update Date
2023-08-16
Business Address
TRACY JOHNSON
901 MACARTHUR BLVD
MUNSTER, IN 46321-2901
Phone number: 219-703-1141
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Mailing Address
TRACY JOHNSON
7537 MAGNOLIA AVE
HAMMOND, IN 46324-3126
Phone number:
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