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Individual

MADELINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT

Contact information

Practice address
4675 CORNELL RD, BLUE ASH, OH 45241-2461
(513) 272-3999
Mailing address
345 E 86TH ST APT 16C, NEW YORK, NY 10028-4750
(917) 861-5292

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
43ZA00004673
NJ
227800000X
Certified Respiratory Therapist
Primary
6463
KY
227800000X
Certified Respiratory Therapist
RTL1229
CO
227800000X
Certified Respiratory Therapist
TTL16188
FL

Other

Enumeration date
12/23/2016
Last updated
12/23/2016
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