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Individual

CRYSTAL W JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1092 E 300 S, SANTAQUIN, UT 84655-5605
(435) 660-9721
Mailing address
1092 E 300 S, SANTAQUIN, UT 84655-5605
(435) 660-9721

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
5778123-3102
UT

Other

Enumeration date
04/11/2025
Last updated
04/11/2025
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