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1992933188
JENNIFER C JOHANSEN
CHICAGO, IL
NPI
1992933188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-007606)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
-- JENNIFER C JOHANSEN N.P.
1725 W HARRISON ST SUITE 1118
CHICAGO, IL 60612-3841
Phone number: 312-942-5936
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Mailing Address
-- JENNIFER C JOHANSEN N.P.
1725 W HARRISON ST SUITE 1118
CHICAGO, IL 60612-3841
Phone number: 312-942-5936
Copy
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