Individual
DEBRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2035 CHEYENNE AVE, IONIA, IA 50645-9490
(641) 220-1915
Mailing address
2035 CHEYENNE AVE, IONIA, IA 50645-9490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123625
IA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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