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Individual

DENIELLE RENEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
944 N MAIN, NEPHI, UT 84648-1002
(435) 283-4000
(435) 283-8401
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/19/2020
Last updated
09/19/2020
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Product
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