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Individual
RACQUEL JOHNSON
Active
Individual
RACQUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
134896
OH
164X00000X
Licensed Vocational Nurse
134896
OH
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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