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Individual

YUWADEE H JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACY INTERN

Contact information

Practice address
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Mailing address
1704 FORT JESSE RD, NORMAL, IL 61761-2213
(309) 454-2848

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
IL

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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