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1972018125
SHATONNA JOHNSON
ROCKFORD, IL
NPI
1972018125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2017-12-11
Last Update Date
2017-12-11
Business Address
SHATONNA JOHNSON
318 MIRIAM AVE
ROCKFORD, IL 61101-5534
Phone number: 779-208-6179
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Mailing Address
SHATONNA JOHNSON
1930 N ALPINE RD
ROCKFORD, IL 61107-1416
Phone number: 779-208-6179
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