Individual
CORRIN J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 36TH AVE, COLUMBUS, NE 68601-3033
(402) 910-9410
Mailing address
2255 36TH AVE, COLUMBUS, NE 68601-3033
(402) 910-9410
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13172551
NE
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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