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1023398302
MATTHEW ETHAN JOHNSON
WILLIAMSPORT, PA
NPI
1023398302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: CT 2609)
Enumeration Date
2011-08-18
Last Update Date
2021-04-01
Business Address
Mr. MATTHEW ETHAN JOHNSON PA-C
700 HIGH ST
WILLIAMSPORT, PA 17701-3100
Phone number: 703-585-0221
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Mailing Address
Mr. MATTHEW ETHAN JOHNSON PA-C
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1900
Phone number: 570-326-8723
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