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1023483468
REGINALD JOHNSON
CHICAGO, IL
NPI
1023483468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
-- REGINALD JOHNSON
6901 S HARVARD AVE
CHICAGO, IL 60621-3722
Phone number: 773-619-6090
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Mailing Address
-- REGINALD JOHNSON
6901 S HARVARD AVE
CHICAGO, IL 60621-3722
Phone number: 773-619-6090
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