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Individual

DEBORAH JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
695 THUNDERBOLT AVE, LAKE HAVASU CITY, AZ 86406-7103
(928) 854-7231
Mailing address
695 THUNDERBOLT AVE, LAKE HAVASU CITY, AZ 86406-7103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
276893
AZ

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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