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1043331440
WANDA SUE JOHNSON
DURHAM, NC
NPI
1043331440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2007-04-03
Last Update Date
2007-07-11
Business Address
Mrs. WANDA SUE JOHNSON rmf/cmf
4228 GARRETT RD
DURHAM, NC 27707-3430
Phone number: 919-489-7408
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Mailing Address
Mrs. WANDA SUE JOHNSON rmf/cmf
4228 GARRETT RD
DURHAM, NC 27707-3430
Phone number: 919-489-7408
Copy
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