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1730743329
DEIDRE JOHNSON
FLOWOOD, MS
NPI
1730743329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902787)
Enumeration Date
2019-04-29
Last Update Date
2019-11-16
Business Address
Mrs. DEIDRE JOHNSON NP-C
1050 RIVER OAKS DR STE 100
FLOWOOD, MS 39232
Phone number: 601-200-4760
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Mailing Address
Mrs. DEIDRE JOHNSON NP-C
1050 RIVER OAKS DR STE 100
FLOWOOD, MS 39232-9564
Phone number: 601-200-4760
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