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1750844106
STEPHANIE RAYNELL JOHNSON
METAIRIE, LA
NPI
1750844106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 203912)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
STEPHANIE RAYNELL JOHNSON NP
2215 VETERANS BLVD
METAIRIE, LA 70072
Phone number: 504-838-3524
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Mailing Address
STEPHANIE RAYNELL JOHNSON NP
1943 BROOKTER ST
SLIDELL, LA 70461-4824
Phone number: 504-579-6980
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