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Individual

EVELYN C JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5306 OAKCREST CT, MILFORD, OH 45150-8027
(513) 545-6783
Mailing address
5306 OAKCREST CT, MILFORD, OH 45150-8027
(513) 545-6783

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1301906
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72086326
OH
Enumeration date
11/08/2022
Last updated
11/08/2022
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