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Individual

VERNICE LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COSMETOLOGIST

Contact information

Practice address
4027 E 45TH ST, 1658 E. 63RD STREET, KANSAS CITY, MO 64131-2125
(816) 361-2955
Mailing address
4027 E 45TH ST, 1658 E. 63RD STREET, KANSAS CITY, MO 64130-2125
(816) 361-2955

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
2007011655
MO

Other

Enumeration date
02/19/2016
Last updated
02/19/2016
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