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1821774712
KENYATTA NICOLE JOHNSON
CHICAGO, IL
NPI
1821774712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
KENYATTA NICOLE JOHNSON
11313 S BISHOP ST
CHICAGO, IL 60643
Phone number: 773-313-5012
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Mailing Address
KENYATTA NICOLE JOHNSON
11313 S BISHOP ST
CHICAGO, IL 60643
Phone number: 773-313-5012
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