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1013530310
MICAH JOHNSON
SAN ANTONIO, TX
NPI
1013530310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2471V0105X Radiologic Technologist, Vascular Sonography
(Licence: TX 135818)
Enumeration Date
2020-05-20
Last Update Date
2021-12-18
Business Address
Mr. MICAH JOHNSON RVT
718 LEXINGTON AVE
SAN ANTONIO, TX 78212-4768
Phone number: 210-251-2024
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Mailing Address
Mr. MICAH JOHNSON RVT
24165 IH 10 W STE 217747
SAN ANTONIO, TX 78257-1449
Phone number: 210-251-2024
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