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Individual

EMERALD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4628 FOWLER AVE, OMAHA, NE 68104-2438
(531) 213-8245
Mailing address
2906 ERNST ST, OMAHA, NE 68112-2822
(402) 779-9951

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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