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1871027516
SHUNTA L JOHNSON
SAINT LOUIS, MO
NPI
1871027516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2017006151)
Enumeration Date
2017-04-19
Last Update Date
2021-03-11
Business Address
SHUNTA L JOHNSON FNP
3009 N BALLAS RD STE 390C
SAINT LOUIS, MO 63131-2322
Phone number: 314-996-3575
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Mailing Address
SHUNTA L JOHNSON FNP
3009 N BALLAS RD STE 390C
SAINT LOUIS, MO 63131-2322
Phone number: 314-996-3575
Copy
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