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1821536608
EBONI JOHNSON
MILWAUKEE, WI
NPI
1821536608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 320135-31)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- EBONI JOHNSON
4605 W VILLARD AVE
MILWAUKEE, WI 53218-4457
Phone number: 414-892-0464
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Mailing Address
-- EBONI JOHNSON
4605 W VILLARD AVE
MILWAUKEE, WI 53218-4457
Phone number:
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