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Individual
ARLENE ELIZABETH JOHNSON
Active
Individual
ARLENE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2711
LICENSE
SC
05
—
GP1060
—
SC
05
—
RHC195
—
SC
Enumeration date
12/11/2006
Last updated
06/15/2012
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