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Individual

MRS. ANGELA MICHELLE SPENCE-JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1127 WEXFORD GREEN BLVD, COLUMBUS, OH 43228-8807
(614) 806-5673

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-100596
OH

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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