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Individual

KIARA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24451 LAKE SHORE BLVD, APT 1121, EUCLID, OH 44123-1272
(216) 825-3109
Mailing address
24451 LAKE SHORE BLVD, APT 1121, EUCLID, OH 44123-1272
(216) 825-3109

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
413294
OH

Other

Enumeration date
12/27/2016
Last updated
12/27/2016
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