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Individual

MS. DEBORAH K JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7229
(252) 641-7388
Mailing address
360 CORBETT RD, GOLDSBORO, NC 27534-7910
(919) 778-0140

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
65826
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
083018
NC

Other

Enumeration date
09/17/2009
Last updated
05/27/2010
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