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1811731490
JESSILYN MAE JOHANNSEN
SIOUX CITY, IA
NPI
1811731490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: IA 126879)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
JESSILYN MAE JOHANNSEN RN
2720 STONE PARK BLVD
SIOUX CITY, IA 51104-3734
Phone number: 712-279-3750
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Mailing Address
JESSILYN MAE JOHANNSEN RN
4701 46TH ST
SIOUX CITY, IA 51108-1548
Phone number: 712-560-6686
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