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Individual

KATIE JHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
480 LEONARD AVENUE EXT APT 8H, FAIRMONT, WV 26554-3876
(304) 413-3190
Mailing address
480 LEONARD AVENUE EXT APT 8H, FAIRMONT, WV 26554-3876
(304) 413-3190

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
WV

Other

Enumeration date
10/19/2020
Last updated
10/19/2020
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