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ANTHONY LEE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8770
(970) 495-7643
Mailing address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8770
(970) 495-7643

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
0198077
CO
390200000X
Student in an Organized Health Care Education/Training Program
0198077
CO

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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