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Individual

CAROLYN Y JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1941 S 42ND ST STE 203, OMAHA, NE 68105-2946
(531) 255-5002
Mailing address
3664 ERNST ST, OMAHA, NE 68112-2500
(531) 255-5002

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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