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Individual
EMALYN PHILLIPS JOHNSON
Active
Individual
EMALYN PHILLIPS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
RN2293050
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2293050
MA
Other
Enumeration date
02/01/2019
Last updated
10/27/2020
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