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Individual

MORGAN P JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 E MCDONALD AVE, MAN, WV 25635
(304) 583-9383
Mailing address
301 E MCDONALD AVE, MAN, WV 25635
(304) 583-9383

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
89564
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710184478
WV
Enumeration date
01/11/2024
Last updated
01/11/2024
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