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1780947382
LESLIE JOHANSON
IRVING, TX
NPI
1780947382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 738943)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
-- LESLIE JOHANSON PNP
2021 N MACARTHUR BLVD 150
IRVING, TX 75061-2219
Phone number: 972-253-4208
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Mailing Address
-- LESLIE JOHANSON PNP
2021 N MACARTHUR BLVD 150
IRVING, TX 75061-2219
Phone number: 972-253-4208
Copy
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