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1861965238
TERESA A JOHNSON
DECATUR, IL
NPI
1861965238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043108725)
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
TERESA A JOHNSON LPN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
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Mailing Address
TERESA A JOHNSON LPN
151 N MAIN ST
DECATUR, IL 62523-1206
Phone number: 217-362-6262
Copy
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