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Individual

SHARON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2880 KIOWA BLVD N, LAKE HAVASU CITY, AZ 86404-2624
(928) 302-9750
Mailing address
2880 KIOWA BLVD N, LAKE HAVASU CITY, AZ 86404-2624
(928) 302-9750

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
18-00036990
AZ

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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