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Individual

JOHNNIE JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
109 MORRISON DR, PRINCETON, WV 24740-2322
(304) 487-3559
(304) 487-7928
Mailing address
PO BOX 1143, PRINCETON, WV 24740-1143
(304) 487-3559
(304) 487-7928

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
79664
WV

Other

Enumeration date
07/30/2013
Last updated
01/05/2015
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