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Individual

MAE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
18 BRIDLE PATH CT, SICKLERVILLE, NJ 08081-5645
(800) 950-6066
Mailing address
18 BRIDLE PATH CT, SICKLERVILLE, NJ 08081-5645
(800) 950-6066

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO12345100
NJ

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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