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1780465690
BREONTE NICOLE JOHNSON
MILWAUKEE, WI
NPI
1780465690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QC0050X Clinic/Center, Critical Access Hospital
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
BREONTE NICOLE JOHNSON
3237 S 16TH ST
MILWAUKEE, WI 53215-4526
Phone number: 414-647-3995
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Mailing Address
BREONTE NICOLE JOHNSON
4244 N 27TH ST APT 2
MILWAUKEE, WI 53216-1866
Phone number: 414-553-2862
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