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1770955585
SHANNON JOHNSON
JBER, AK
NPI
1770955585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: WA AP60541916)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- SHANNON JOHNSON
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-5808
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Mailing Address
-- SHANNON JOHNSON
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number:
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