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1750872487
SHANTAE JOHNSON
SUGAR LAND, TX
NPI
1750872487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX AP143150)
Enumeration Date
2018-05-30
Last Update Date
2024-09-17
Business Address
SHANTAE JOHNSON NP-BC
17520 W GRAND PKWY S
SUGAR LAND, TX 77479-4758
Phone number: 812-725-5970
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Mailing Address
SHANTAE JOHNSON NP-BC
17520 W GRAND PKWY S
SUGAR LAND, TX 77479-4758
Phone number: 281-725-5970
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