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1952769275
BETHANY JOHNSON
CHRISTOPHER, IL
NPI
1952769275
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Former Name
BETHANY SHEPARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043108877)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
BETHANY JOHNSON LPN
4241 HIGHWAY 14 W
CHRISTOPHER, IL 62822-1037
Phone number: 618-724-2401
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Mailing Address
BETHANY JOHNSON LPN
103 COMMERCE ST
CARMI, IL 62821-2223
Phone number: 618-384-5686
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