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Individual

BARBARA JEAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TEXAS 128477

Contact information

Practice address
1355 S 11TH ST, SLATON, TX 79364-6001
(806) 620-9085
Mailing address
1355 S 11TH ST, SLATON, TX 79364-6001
(806) 620-9085

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
128477
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128477
NA
TX
Enumeration date
02/20/2018
Last updated
02/20/2018
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