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Individual

DONNA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1350 TEAKWOOD AVE, COOS BAY, OR 97420-2537
(541) 266-3932
Mailing address
1350 TEAKWOOD AVE, COOS BAY, OR 97420-2537
(541) 266-3932

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
082010931RN
OR

Other

Enumeration date
02/13/2025
Last updated
02/13/2025
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