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1770788234
OLETHA JOHNSON
ELGIN, IL
NPI
1770788234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 041317255)
Enumeration Date
2007-06-15
Last Update Date
2007-07-08
Business Address
-- OLETHA JOHNSON NP
370 SUMMIT ST
ELGIN, IL 60120-3843
Phone number: 847-608-6323
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Mailing Address
-- OLETHA JOHNSON NP
370 SUMMIT ST
ELGIN, IL 60120-3843
Phone number: 847-608-6323
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