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1770696890
STACIE L JOHNSON
MCHENRY, IL
NPI
1770696890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085002273)
Enumeration Date
2006-08-15
Last Update Date
2021-05-05
Business Address
STACIE L JOHNSON PAC
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050-8409
Phone number: 815-759-3100
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Mailing Address
STACIE L JOHNSON PAC
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050-8409
Phone number: 815-759-3100
Copy
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