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1851579387
STACY L JOHNSON
FAIRBORN, OH
NPI
1851579387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 122515)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mrs. STACY L JOHNSON LPN
326 SHADE DR
FAIRBORN, OH 45324-4239
Phone number: 937-361-9764
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Mailing Address
Mrs. STACY L JOHNSON LPN
326 SHADE DR
FAIRBORN, OH 45324-4239
Phone number: 937-361-9764
Copy
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