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1790173698
SUSAN JOHNSON
GREEN BAY, WI
NPI
1790173698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 314600)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
-- SUSAN JOHNSON LPN
2697 HILLSIDE HEIGHTS DR
GREEN BAY, WI 54311-6774
Phone number: 920-471-7976
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Mailing Address
-- SUSAN JOHNSON LPN
2697 HILLSIDE HEIGHTS DR
GREEN BAY, WI 54311-6774
Phone number: 920-471-7976
Copy
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