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1013034933
BRUCE LYMAN JOHNSON
LEBANON, TN
NPI
1013034933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN ds0000004778)
Enumeration Date
2007-03-24
Last Update Date
2007-07-08
Business Address
Dr. BRUCE LYMAN JOHNSON dds
716 CASTLE HEIGHTS CT
LEBANON, TN 37087-2670
Phone number: 615-444-0065
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Mailing Address
Dr. BRUCE LYMAN JOHNSON dds
716 CASTLE HEIGHTS CT
LEBANON, TN 37087-2670
Phone number: 615-444-0065
Copy
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