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1053717082
VINCENT BERNARD JOHNSON
ORANGEBURG, SC
NPI
1053717082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 19182)
Enumeration Date
2014-11-19
Last Update Date
2023-06-20
Business Address
VINCENT BERNARD JOHNSON APRN
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
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Mailing Address
VINCENT BERNARD JOHNSON APRN
3310 MAGNOLIA ST
ORANGEBURG, SC 29115-1466
Phone number: 803-531-6900
Copy
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