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Individual

ELI RUSSELL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3215 CUMING ST, OMAHA, NE 68131-2000
(531) 299-0220
Mailing address
3215 CUMING ST, OMAHA, NE 68131-2000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1043
NE

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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