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Individual

MRS. MARIJO JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-1300
Mailing address
4149 WEBER RD, WHITEHALL, MI 49461-9727
(231) 766-2719

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704186187
MI

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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