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1053945352
ROBERT LEROY JOHNSON
HARDY, AR
NPI
1053945352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-02-25
Last Update Date
2020-06-10
Business Address
Mr. ROBERT LEROY JOHNSON
29 TUCKER RD
HARDY, AR 72542-9115
Phone number: 870-955-0972
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Mailing Address
Mr. ROBERT LEROY JOHNSON
29 TUCKER RD.
HARDY, AR 72542
Phone number: 870-955-0972
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