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Individual

AUSTRALIA ANITA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
230 S MACARTHUR BLVD APT 608, COPPELL, TX 75019-3611
(504) 333-4908
(504) 333-4908
Mailing address
230 S MACARTHUR BLVD APT 608, COPPELL, TX 75019-3611
(504) 333-4908

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322681
TX

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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