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Individual

IVON JACQUELINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 16TH ST, AUBURN, NE 68305-2208
(402) 274-4354
Mailing address
919 16TH ST, AUBURN, NE 68305-2208
(402) 274-4354

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24232
NE

Other

Enumeration date
07/24/2019
Last updated
07/24/2019
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