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1841675576
TIA JOHNSON
GLENDALE, AZ
NPI
1841675576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AZ RN162098 AP7905)
Enumeration Date
2015-07-23
Last Update Date
2015-07-30
Business Address
TIA JOHNSON FNP-C
19875 N 51ST AVE
GLENDALE, AZ 85308-5114
Phone number: 623-581-8998
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Mailing Address
TIA JOHNSON FNP-C
19875 N 51ST AVE
GLENDALE, AZ 85308-5114
Phone number: 623-581-8998
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