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Individual

CHERIE H JOHNSON

Active
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Individual

CHERIE H JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000583
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104322
—
WA
01
—
120018
WORKER'S COMPENSATION
WA
01
—
5996724
AETNA U.S. HEALTHCARE
WA
01
—
J01543
REGENCE BLUESHIELD
WA
Enumeration date
02/23/2006
Last updated
01/10/2008
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