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Individual

ANGELLA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4832 COUNTY ROAD K, WIGGINS, CO 80654-7815
(970) 483-6566
Mailing address
4832 COUNTY ROAD K, WIGGINS, CO 80654-7815
(970) 483-6566

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0184225
CO

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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