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Individual

MS. GARA MAXINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
234 GOODWIN CREST DR, HOMEWOOD, AL 35209-3701
(205) 290-4599
(205) 290-4560
Mailing address
PO BOX 19848, BIRMINGHAM, AL 35219-0848
(205) 290-4599
(205) 290-4560

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-043680
AL

Other

Enumeration date
02/24/2009
Last updated
02/24/2009
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