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Individual

YOLANDRA L JOHNSON

Active
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Individual

YOLANDRA L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036086910
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036086910
BLUE CROSS
IL
01
110152884
RAILROAD MEDICARE
IL
Enumeration date
08/16/2005
Last updated
05/31/2013
Update your record

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