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Individual

MRS. BONNIE L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12 COMMONS ST STE 1, RUTLAND, VT 05701-4651
(802) 770-1805
(802) 773-4876
Mailing address
12 COMMONS ST STE 1, RUTLAND, VT 05701-4651
(802) 770-1805
(802) 773-4876

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1010034896
VT

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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