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1023284585
LANCE GREGORY JOHNSON
SPRINGDALE, AR
NPI
1023284585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
-- LANCE GREGORY JOHNSON MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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Mailing Address
-- LANCE GREGORY JOHNSON MHPP
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020
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