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Individual

MS. PATRICIA JOYCE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5532 W LEON TER, MILWAUKEE, WI 53216-1228
(414) 839-0701
Mailing address
5532 W LEON TER, MILWAUKEE, WI 53216-1228
(414) 839-0701

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31976031
WI

Other

Enumeration date
05/11/2010
Last updated
05/11/2010
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