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Individual
LEOLA JOHNSON
Active
Individual
LEOLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0917
MN
Other
Enumeration date
08/21/2013
Last updated
01/29/2016
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