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MRS. KATHLEEN MARIE JOHNSON R.N.

>> Local Education Agency (LEA) >> Agencies

Registrant NPI Number: 1265652598

Individual Registrant:
MRS. KATHLEEN MARIE JOHNSON R.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
4650 W. SWEETWATER  GLND, AZ 85304 US
Tel: 602-347-2600  Fax: 602-347-2709

Contact information for business:
6026 W WILLOW AVE  GLENDALE, AZ 85304-1101 US
Tel: 623-979-3480  Fax: --

Registration Information:
NPI: 1265652598
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251300000XAgencies
Local Education Agency (LEA)
AZRN033369

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
559114AZ05




HEALTH CARE JOBS AZ - Page 1



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