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Individual

MS. CHARLOTTE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10955 LOWELL AVE STE 425, OVERLAND PARK, KS 66210-2393
(913) 345-9006
Mailing address
750 N 75TH TER, KANSAS CITY, KS 66112-2808
(832) 428-6367

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-92848-032
KS
163W00000X
Registered Nurse
2003022365
MO

Other

Enumeration date
05/10/2009
Last updated
05/10/2009
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