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1740201458
SANDRIVETTE JOHNSON
RALEIGH, NC
NPI
1740201458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 201614)
Enumeration Date
2006-07-21
Last Update Date
2022-07-21
Business Address
Ms. SANDRIVETTE JOHNSON FNP-C
5904 SIX FORKS RD STE 211
RALEIGH, NC 27609-8228
Phone number: 984-242-0510
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Mailing Address
Ms. SANDRIVETTE JOHNSON FNP-C
5904 SIX FORKS RD STE 211
RALEIGH, NC 27609-8228
Phone number: 984-242-0510
Copy
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