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Individual

JOHNSON KARUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
65 SOUTHBRIDGE ST, SUITE 220, AUBURN, MA 01501-2566
(774) 243-1179
(855) 855-4411
Mailing address
PO BOX 2943, WORCESTER, MA 01613-2943
(508) 868-9975
(855) 855-4411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN269849
MA

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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