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Individual

JIMMY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3373 ERSKINE ST # NEUSA, OMAHA, NE 68111-3659
(531) 346-1921
Mailing address
3373 ERSKINE ST, OMAHA, NE 68111-3659
(531) 346-1921

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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