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Individual

WAYNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
120 N 21ST ST, ORD, NE 68862-1320
(402) 699-0736
(402) 343-8765
Mailing address
120 N 21ST ST, ORD, NE 68862-1320
(402) 699-0736
(402) 343-8765

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100500
NE

Other

Enumeration date
08/18/2006
Last updated
05/13/2015
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