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Individual

DR. MARIAH SHIRLANNE CLEARY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
449 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-0017
Mailing address
449 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-0017

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11345
KY

Other

Enumeration date
05/21/2025
Last updated
12/18/2025
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