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Organization
WENDY JOHNSON
Active
Organization
WENDY JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JOHNSON (OWNSER)
(419) 343-9939
Entity
Organization
Contact information
Practice address
307 CLINTON ST, POX 597, ELMORE, OH 43416-7703
(419) 343-9939
Mailing address
307 CLINTON ST, POX 597, ELMORE, OH 43416-7703
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106547
—
OH
Enumeration date
11/04/2015
Last updated
11/04/2015
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