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Individual
ANGELICA JOHNSEN
Active
Individual
ANGELICA JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332650
NY
207Q00000X
Family Medicine Physician
Primary
MD493653
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
06/04/2026
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