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1730577966
MELODY JOHNSON
HERRIN, IL
NPI
1730577966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043071418)
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
-- MELODY JOHNSON LPN
3303 LOGAN DR
HERRIN, IL 62948-3732
Phone number: 618-993-5767
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Mailing Address
-- MELODY JOHNSON LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2401
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