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Individual
DR. DEORA KAYE JOHNSON
Active
Individual
DR. DEORA KAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R193679
MD
Other
Enumeration date
10/23/2005
Last updated
04/13/2025
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