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Individual

CHEYENNE RAI JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
220 WILSON ST STE 109, CARLISLE, PA 17013-3697
(717) 249-1929
Mailing address
174 KLINE RD, SHIPPENSBURG, PA 17257-9008
(814) 577-1487

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061685
PA

Other

Enumeration date
09/02/2020
Last updated
02/09/2026
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