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Individual
GAIL CLARISSA JOHNSON
Active
Individual
GAIL CLARISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN468266
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382248
—
OH
Enumeration date
12/02/2019
Last updated
11/10/2021
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