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Makayla Rose Johnson
Student in an Organized Health Care Education/Training Program in Gaston, Indiana
NPI 1275071391

Makayla Rose Johnson is a Student in an Organized Health Care Education/Training Program based in Gaston, IN. Makayla Rose Johnson practices in Gaston, IN. The NPI Number for Makayla Rose Johnson is 1275071391 and holds a License No. (Indiana).

The current practice location address for Makayla Rose Johnson is 17001 N Angler Club Rd, Gaston, IN and can be reached out via phone at 765-702-7167. You can also correspond with Makayla Rose Johnson through the mailing address at 17001 N ANGLER CLUB RD, GASTON, IN - 47342-9225 (mailing address contact number: 765-702-7167).

Location: 17001 N Angler Club Rd, Gaston, IN, 47342-9225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275071391
Provider Name
Makayla Rose Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
17001 N Angler Club Rd, Gaston, IN, 47342-9225
Phone Number
765-702-7167
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17001 N Angler Club Rd
City
Gaston
State
Indiana
Zip
47342-9225
Phone Number
765-702-7167
Fax Number
person
Provider Business Mailing Address Details
Address
17001 N Angler Club Rd
City
Gaston
State
Indiana
Zip
47342-9225
Phone Number
765-702-7167
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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