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1881280105
KENYA JOHNSON
OAK PARK, IL
NPI
1881280105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
KENYA JOHNSON
715 LAKE ST STE 720&800
OAK PARK, IL 60301-1422
Phone number: 773-312-3612
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Mailing Address
KENYA JOHNSON
1017 MARENGO AVE
FOREST PARK, IL 60130-2347
Phone number:
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